| NPI | 1912419698 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL SORACE Managing Employee 830-331-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0900X Dermatology, Dermatopathology (Licence: NY 288165) |
| Enumeration Date | 2017-11-02 |
| Last Update Date | 2017-11-02 |