NPI | 1124109913 |
---|---|
Entity Type | Organization |
Authorized Contact | KEHUA LI President 856-256-8899 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA07893300) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: NJ 25MA07893300) |
207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: NJ 25MA07893300) | |
Enumeration Date | 2006-10-18 |
Last Update Date | 2019-12-29 |