| NPI | 1952940850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RISHI K GANDHI Owner 937-668-9850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ND0101X Dermatology MOHS-Micrographic Surgery |
| Additional Taxonomies | 207N00000X Dermatology |
| Enumeration Date | 2019-12-26 |
| Last Update Date | 2020-11-02 |