NPI | 1609190982 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID G SMITH Owner 440-853-8208 |
Organization Subpart ? | No |
Primary Taxonomy | 202K00000X (Licence: OH 3506461) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: OH 35064610) |
Enumeration Date | 2010-03-16 |
Last Update Date | 2024-05-21 |