NPI | 1477570125 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL A GROMET Physician Owner 415-990-7231 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: FL ME64624) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: FL ME64624) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2020-08-22 |