| NPI | 1306518113 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDAN P SAND Managing Director 095-324-2980 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery |
| Enumeration Date | 2021-09-30 |
| Last Update Date | 2023-10-06 |