NPI | 1174748289 |
---|---|
Entity Type | Organization |
Authorized Contact | ILDIKO G. MIKOS President 502-899-3511 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: KY 34969) |
Enumeration Date | 2007-04-16 |
Last Update Date | 2020-08-22 |