| NPI | 1407943921 |
|---|---|
| Former Name | PAYAM TRISTANI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: UT 3496681205) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: UT 3496681205) |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: UT 3496681205) | |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2021-12-20 |