| NPI | 1326289810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY M BUNCKE President 415-565-6136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: CA G49617) |
| Enumeration Date | 2009-03-13 |
| Last Update Date | 2009-10-30 |