| NPI | 1992094494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FADI NUKTA Managing Member 703-574-2588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208200000X Plastic Surgery (Licence: VA 0101248274) |
| Enumeration Date | 2011-04-05 |
| Last Update Date | 2011-12-08 |