NPI | 1710502661 |
---|---|
Entity Type | Organization |
Authorized Contact | HOSSEIN NASAJPOUR Owner 601-580-5076 |
Organization Subpart ? | No |
Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
Additional Taxonomies | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
Enumeration Date | 2020-06-16 |
Last Update Date | 2020-06-16 |