| NPI | 1407082019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEHNAZ FAYAZI Sole Member 301-525-9994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MD D00068649) |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2009-07-24 |