| 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 |