| NPI | 1720277932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIR BAJOGHLI President 703-492-4140 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: VA 0101053252) |
| Enumeration Date | 2007-10-24 |
| Last Update Date | 2008-09-24 |