| 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 |