| NPI | 1164994034 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAYA KORCH Manager 305-929-3376 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207NS0135X Dermatology, Procedural Dermatology | |
| 207R00000X Internal Medicine | |
| 207RR0500X Internal Medicine, Rheumatology | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2023-03-22 |