| NPI | 1033459011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES POLO Md/Owner 252-633-4461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology |
| Enumeration Date | 2013-02-27 |
| Last Update Date | 2022-09-21 |