| NPI | 1326386590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA ANN HAUB Office Administrator 415-441-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA G69377) |
| Enumeration Date | 2013-01-23 |
| Last Update Date | 2013-01-23 |