| NPI | 1932806346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN OLIVER President 877-885-0588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| 208800000X Urology | |
| 2088P0231X | |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2023-02-22 |