| NPI | 1356944193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT OSBORNE BROWN Owner 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 |