| NPI | 1205226099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLYNIS THAKUR Consultant 425-533-3307 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2015-01-31 |
| Last Update Date | 2015-01-31 |