| NPI | 1376177733 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAK HO SAMUEL SHIH President 443-939-4050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2020-02-25 |
| Last Update Date | 2020-07-21 |