| NPI | 1679603385 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTOPHER JON KAUFMAN Practice Owner 703-751-2616 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: VA 0101023946) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2022-02-03 |