| NPI | 1871514794 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURENCE H MILLER President 301-652-2882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology, Procedural Dermatology (Licence: MD D0006413) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |