| NPI | 1043404296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BANIPAL HOVHANESSIAN Dr./Owner 765-455-2577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery | |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck | |
| Enumeration Date | 2007-08-30 |
| Last Update Date | 2007-08-30 |