| NPI | 1831132463 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN M ROTTER Owner 703-442-0301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2008-03-05 |