NPI | 1063647154 |
---|---|
Entity Type | Organization |
Authorized Contact | WILLIAM NOBLE GRAHAM Owner 605-996-8386 |
Organization Subpart ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: SD 4248) |
Enumeration Date | 2009-05-19 |
Last Update Date | 2009-05-19 |