| NPI | 1265758296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEROME H. LIU Director 408-418-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| 2082S0099X Plastic Surgery Plastic Surgery Within the Head and Neck | |
| 2082S0105X Plastic Surgery Surgery of the Hand | |
| 2086S0105X Surgery Surgery of the Hand | |
| Enumeration Date | 2010-04-15 |
| Last Update Date | 2018-10-23 |