| NPI | 1952147332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACK HUA Surgeon 347-788-8737 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| Enumeration Date | 2024-07-03 |
| Last Update Date | 2024-07-03 |