| NPI | 1548134158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDANA KATAVA President 551-209-0080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2025-10-06 |
| Last Update Date | 2025-10-06 |