NPI | 1174858153 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN D MABERRY President 213-995-5054 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA a72562) |
Enumeration Date | 2009-10-09 |
Last Update Date | 2009-10-09 |