| NPI | 1801032586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NASSIF ELIAS SOUEID President 410-321-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Enumeration Date | 2008-12-30 |
| Last Update Date | 2010-12-06 |