| NPI | 1326535410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEMETRIO J AGUILA President/CEO 402-370-8228 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: NE 27722) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NE 27722) |
| 261QP3300X Clinic/Center, Pain | |
| Enumeration Date | 2018-04-16 |
| Last Update Date | 2023-10-10 |