| NPI | 1720214125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRASAD GANGADHAR KILARU President 510-648-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA A60104) |
| Enumeration Date | 2009-05-31 |
| Last Update Date | 2009-05-31 |