| NPI | 1407992217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL P TAHERI President 424-276-4700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2019-09-10 |