| NPI | 1154345718 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MITCHELL D KAYE Owner 270-886-0470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2013-11-26 |