| NPI | 1013146679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL MELAMED President 575-628-0926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NM MD2007-0654) |
| Enumeration Date | 2009-07-03 |
| Last Update Date | 2009-07-03 |