NPI | 1518232065 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD S, GREENE Md / President 954-473-6750 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
Enumeration Date | 2012-03-16 |
Last Update Date | 2017-03-14 |