NPI | 1154536647 |
---|---|
Entity Type | Organization |
Authorized Contact | LEO SOTIRIOU Physician 801-521-5630 |
Organization Subpart ? | No |
Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: UT 155029-1205) |
Enumeration Date | 2007-05-10 |
Last Update Date | 2012-01-04 |