| NPI | 1033519970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL SHIH Owner 443-939-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: GA 066421) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2020-07-21 |