| NPI | 1396810982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAXMEESH D NAYAK President 314-991-5348 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: MO 2004004167) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2024-02-09 |