NPI | 1841559606 |
---|---|
Entity Type | Organization |
Authorized Contact | NOAH K WEISBERG Owner 561-775-6011 |
Organization Subpart ? | No |
Primary Taxonomy | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: FL ME85020) |
Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: FL ME85020) |
Enumeration Date | 2012-05-14 |
Last Update Date | 2019-06-28 |