| NPI | 1861746703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUDREY LAFRANCE Administrative Assistant 858-571-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand |
| Enumeration Date | 2012-10-30 |
| Last Update Date | 2023-03-07 |