| NPI | 1255353983 |
|---|---|
| Other Name | ROBERT JOHNSON ALLEN |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NY 150082-1) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: SC 12264) |
| 208200000X Plastic Surgery (Licence: LA 013956) | |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2024-03-24 |