NPI | 1659847119 |
---|---|
Former Legal Business Name | RODEO AESTHETICS, INC. |
Entity Type | Organization |
Authorized Contact | EMIL KOHAN Surgeon 424-279-3230 |
Organization Subpart ? | No |
Primary Taxonomy | 208600000X Surgery |
Enumeration Date | 2018-10-22 |
Last Update Date | 2018-10-22 |