NPI | 1356944193 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT OSBORNE BROWN O Wner 833-450-0514 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology |
Additional Taxonomies | 207X00000X Orthopaedic Surgery |
207YP0228X Otolaryngology, Pediatric Otolaryngology | |
Enumeration Date | 2020-11-16 |
Last Update Date | 2020-11-16 |