| NPI | 1588818728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAL T ROUDNER President 305443-443-3531 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Enumeration Date | 2008-11-14 |
| Last Update Date | 2008-11-14 |