NPI | 1447420070 |
---|---|
Entity Type | Organization |
Authorized Contact | OZ IDLIBI Administrator 803-393-3710 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 174400000X Specialist (Licence: SC 06954) |
Enumeration Date | 2008-03-11 |
Last Update Date | 2022-11-14 |