| NPI | 1982783890 |
|---|---|
| Former Name | JOHN M MESA |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: NJ 25MA09198500) |
| Additional Taxonomies | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: PA MD437737) |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: MI 5315047086) | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: AL MD.30946) | |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2018-07-11 |