| NPI | 1396872685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT WHARTON Sole Director And Officer 502-245-4450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology Dermatopathology |
| Additional Taxonomies | 207N00000X Dermatology |
| 207NS0135X Dermatology Procedural Dermatology | |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2010-01-06 |