| NPI | 1669599841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE THOMAS NAHASS Owner 618-244-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: IL 036094700) |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2013-06-25 |