NPI | 1336899061 |
---|---|
Entity Type | Organization |
Authorized Contact | OLGA DEMIDOVA Director 216-280-1343 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
Additional Taxonomies | 207N00000X Dermatology |
207ND0101X Dermatology, MOHS-Micrographic Surgery | |
Enumeration Date | 2022-03-25 |
Last Update Date | 2025-08-04 |