NPI | 1336752120 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC W RUDNICK Owner/Dermatologist 561-923-0905 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
Enumeration Date | 2020-08-31 |
Last Update Date | 2020-08-31 |