NPI | 1477678993 |
---|---|
Doing Business As | WESTLAKE DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | GREGORY NIKOLAIDIS President 512-328-3376 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
Enumeration Date | 2007-03-21 |
Last Update Date | 2015-11-05 |