| NPI | 1194100511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANAND D PATEL Member 414-988-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: WI 61806-20) |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2016-11-09 |