| NPI | 1912173964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO LUIS RODRIGUEZ Owner/Surgeon 410-494-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: MD D41395) |
| Enumeration Date | 2008-04-30 |
| Last Update Date | 2014-04-15 |