| NPI | 1831226778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSEL SELWYN GLAUN President 561-392-4558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: FL ME70420) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2008-12-12 |