| NPI | 1033626718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER R COSTA Founder/Chairman 808-349-4096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NV 17614) |
| Enumeration Date | 2018-01-04 |
| Last Update Date | 2018-07-02 |