| NPI | 1497112999 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSE ENRIQUE OTERO Owner 619-229-1211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: CA A30334) |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2016-01-28 |