| NPI | 1265604888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PURVISHA J PATEL Owner 901-831-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NI0002X Dermatology, Clinical & Laboratory Dermatological Immunology |
| Enumeration Date | 2008-03-25 |
| Last Update Date | 2008-04-25 |