| NPI | 1124211487 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDNAN MUSHTAQ Physician 703-448-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101055447) |
| Additional Taxonomies | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: VA 0101055447) |
| Enumeration Date | 2007-08-21 |
| Last Update Date | 2007-08-21 |