| NPI | 1770149080 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRIF F IBRAHIM Owner 206-915-3484 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2019-05-13 |
| Last Update Date | 2019-05-29 |