| NPI | 1043329030 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP G LIU Owner 570-253-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2015-12-09 |