| NPI | 1508395468 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEEL DESAI SOLOMON Owner/Operator 919-388-9103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2014-00889) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2021-10-15 |