| NPI | 1750443644 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH MICHAEL BERMUDEZ Plastic And Reconstructive Surgeon 415-668-2122 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: CA G79286) |
| Enumeration Date | 2006-12-15 |
| Last Update Date | 2007-07-13 |