| NPI | 1477244671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONDANA GHIAS President, Beneficial Owner 301-461-6549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2023-05-17 |
| Last Update Date | 2023-05-17 |