| NPI | 1942405808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANISH G KUMAR President/Physician Owner 563-359-7546 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: IA 35482) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2015-03-30 |