| NPI | 1407575442 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SINA NASRI Managing Member 028-044-7297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| Enumeration Date | 2022-08-23 |
| Last Update Date | 2022-11-08 |