| NPI | 1164699237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDEEP SULE President 972-960-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: TX M4570) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2008-05-08 |