| NPI | 1073051066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LADLY ABRAHAM Member 501-852-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0012X Otolaryngology Sleep Medicine (Licence: AR E-1292) |
| Enumeration Date | 2017-02-09 |
| Last Update Date | 2017-02-09 |