NPI | 1427352053 |
---|---|
Doing Business As | ADVANCED SKIN INSTITUTE |
Entity Type | Organization |
Authorized Contact | BASIL M HANTASH President 408-204-8946 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
Enumeration Date | 2010-12-22 |
Last Update Date | 2020-05-12 |