| NPI | 1720396096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHASHIDHAR KUSUMA President 954-472-8355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2010-09-20 |
| Last Update Date | 2010-09-20 |