NPI | 1427203348 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL PAUL WIDICK Sole Mbr 321-799-9797 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0602X Otolaryngology, Otolaryngic Allergy (Licence: FL ME0061454) |
Enumeration Date | 2008-11-19 |
Last Update Date | 2008-11-19 |