| NPI | 1568560456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIO C CRUZ President 614-761-1151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2020-08-22 |