NPI | 1396400230 |
---|---|
Doing Business As | SUBLIME MD |
Entity Type | Organization |
Authorized Contact | RONNIE NATHAN DAWOOD President 949-367-1115 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 163W00000X Registered Nurse |
207ND0101X Dermatology, MOHS-Micrographic Surgery | |
207ND0900X Dermatology, Dermatopathology | |
207NS0135X Dermatology, Procedural Dermatology | |
207R00000X Internal Medicine | |
363A00000X Physician Assistant | |
Enumeration Date | 2021-11-05 |
Last Update Date | 2022-01-27 |