| NPI | 1649921834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABDEL KADER TAL Clinic Director 419-320-3777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| 207ND0900X Dermatology, Dermatopathology | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2022-01-10 |
| Last Update Date | 2024-05-17 |