| NPI | 1720248826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REZA ARYAI ROD Managing Employee 608-217-6567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: AZ 38069) |
| Enumeration Date | 2008-06-11 |
| Last Update Date | 2008-09-26 |