| NPI | 1538433602 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALBERT E RIVERA President 859-351-4994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: AL DO987) |
| Enumeration Date | 2012-03-06 |
| Last Update Date | 2024-08-21 |