| NPI | 1932658648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL CALVA-CERQUEIRA President 915-449-6160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: FL ME120264) |
| Additional Taxonomies | 2082S0105X Plastic Surgery, Surgery of the Hand |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2020-01-22 |