| NPI | 1649581059 |
|---|---|
| Other Name | JAY MARK SMITH |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: TN 50688) |
| Additional Taxonomies | 207N00000X Dermatology (Licence: TN 50688) |
| Enumeration Date | 2010-06-30 |
| Last Update Date | 2023-04-03 |