| NPI | 1427417716 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID AMRON Director 424-394-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: CA G72788) |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-02-16 |