NPI | 1689660946 |
---|---|
Doing Business As | COMPREHENSIVE DERMATOLOGY |
Entity Type | Organization |
Authorized Contact | DAVID LEVI NATHAN President 317-272-1366 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: IN 01051097) |
Enumeration Date | 2005-09-22 |
Last Update Date | 2007-12-18 |