NPI | 1487825113 |
---|---|
Entity Type | Organization |
Authorized Contact | GREGORY MICHAEL BRICCA President 916-772-1585 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: CA A070396) |
Enumeration Date | 2008-03-21 |
Last Update Date | 2008-10-30 |