NPI | 1942468616 |
---|---|
Entity Type | Organization |
Authorized Contact | ANATOLY ZELIKOV Owner 248-788-4380 |
Organization Subpart ? | No |
Primary Taxonomy | 207N00000X Dermatology (Licence: MI 4301046052) |
Additional Taxonomies | 207NS0135X Dermatology, Procedural Dermatology (Licence: MI 4301046052) |
Enumeration Date | 2008-05-29 |
Last Update Date | 2008-05-29 |