NPI | 1821156621 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT E MARSICO Owner 330-869-9200 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery |
Additional Taxonomies | 207N00000X Dermatology |
Enumeration Date | 2006-12-05 |
Last Update Date | 2025-09-11 |