NPI | 1396046454 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANA MARIE BREISTER GHOSH Physician & Surgeon/President 619-286-6446 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A55510) |
Enumeration Date | 2010-11-05 |
Last Update Date | 2010-11-05 |