| NPI | 1356778641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW M KLEIN Owner/Provider 804-543-7441 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: VA 0101038338) |
| Enumeration Date | 2013-10-01 |
| Last Update Date | 2013-10-01 |