| NPI | 1821343229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEONID B TROST Md/Owner 239-482-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME100046) |
| Enumeration Date | 2012-07-23 |
| Last Update Date | 2012-07-31 |