| NPI | 1285488312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE MAXFIELD Owner 415-802-1310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2024-04-15 |
| Last Update Date | 2024-08-01 |