| NPI | 1487727921 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS NICOTRI President 985-626-6996 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: LA 023801) |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2007-11-05 |