| NPI | 1790161172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARTHUR DESROSIERS CEO 305-403-2922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME110935) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: FL ME110935) |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: FL ME110935) | |
| Enumeration Date | 2015-08-07 |
| Last Update Date | 2015-08-07 |