| NPI | 1073721593 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHOSROW MEHRANY Owner Direction Md 408-603-6366 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| Enumeration Date | 2007-05-18 |
| Last Update Date | 2022-09-07 |