| NPI | 1952349466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONI PROFT Office Administrator 513-858-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: OH 35060409) |
| Additional Taxonomies | 207ND0101X Dermatology, MOHS-Micrographic Surgery (Licence: OH 35060409) |
| 207ND0900X Dermatology, Dermatopathology (Licence: OH 35060409) | |
| 207NP0225X Dermatology, Pediatric Dermatology (Licence: OH 35060409) | |
| 207NS0135X Dermatology, Procedural Dermatology (Licence: OH 35060409) | |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2010-07-20 |