| NPI | 1437982055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA KHROM President 954-688-9677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2024-08-20 |
| Last Update Date | 2024-08-20 |