| NPI | 1669612362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZULEICA MURILLO Development 559-446-1070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NJ 25MA07004000) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology |
| 207ND0101X Dermatology, MOHS-Micrographic Surgery | |
| 207NS0135X Dermatology, Procedural Dermatology | |
| Enumeration Date | 2009-02-20 |
| Last Update Date | 2009-04-28 |