| NPI | 1750411427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EUGENE JAMES NOWAK President 619-420-1840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: CA 20A7103) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |