| NPI | 1962733170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANJAY TOMAR Owner 919-359-0291 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207N00000X Dermatology (Licence: NC 2008-01357) |
| Additional Taxonomies | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: NC 2008-01358) |
| Enumeration Date | 2010-01-28 |
| Last Update Date | 2021-03-30 |