NPI | 1366759938 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS T. LE Medical Director 877-917-3223 |
Organization Subpart ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MD D0061873) |
Enumeration Date | 2010-09-02 |
Last Update Date | 2012-01-29 |