NPI | 1568767663 |
---|---|
Entity Type | Organization |
Authorized Contact | DOLPH THOMAS URBAN Presidnet/ Owner 408-268-9660 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: CA 00A202480) |
Enumeration Date | 2011-01-20 |
Last Update Date | 2011-01-20 |