| NPI | 1962726331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIPAL SONI President 310-210-2446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: CA A75677) |
| Additional Taxonomies | 207ND0101X Dermatology MOHS-Micrographic Surgery (Licence: CA A75677) |
| 207ND0900X Dermatology Dermatopathology (Licence: CA A75677) | |
| 207NS0135X Dermatology Procedural Dermatology (Licence: CA A75677) | |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2010-03-15 |