| NPI | 1629445820 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH YU President 866-574-1719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: TX P2563) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |