| NPI | 1821156621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E MARSICO Owner 330-869-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
| Enumeration Date | 2006-12-05 |
| Last Update Date | 2020-08-22 |