| NPI | 1558556928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAMALIEL GO LOTUACO President 816-531-0453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: KS 0416323) |
| Enumeration Date | 2007-09-10 |
| Last Update Date | 2009-03-04 |