| NPI | 1215990700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ISRAEL ZIVONY President/Owner 828-274-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 200201027) |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: NC 200201027) |
| 207ND0900X Dermatology Dermatopathology (Licence: NC 200201027) | |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2015-03-09 |