| NPI | 1396968160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON J ACKERMAN Presicent 808-596-0955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: HI 3540) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |