| NPI | 1346320934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ACQUILLY NAKIDA LIONEL Office Manager 202-547-9001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: DC MD25800) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: MD D0022971) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-06-16 |