| 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 |