NPI | 1275022519 |
---|---|
Entity Type | Organization |
Authorized Contact | CHETHANA GOTTAM Owner / Authorized Official 415-802-1310 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301108548) |
Enumeration Date | 2018-05-02 |
Last Update Date | 2023-03-16 |