| NPI | 1679776462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL DAVID GOTTENGER President 305-669-0900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME91263) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2017-03-15 |