| NPI | 1811510886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAEYOUNG YOON Owner 314-230-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| 207ND0900X Dermatology, Dermatopathology | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery | |
| Enumeration Date | 2020-05-25 |
| Last Update Date | 2024-08-28 |