| NPI | 1508867417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA DAVID VRETZKY Md/Owner 919-532-7900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207KA0200X Allergy & Immunology, Allergy (Licence: NC 9900716) |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: NC 9900706) |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: NC 9900706) | |
| 231H00000X Audiologist (Licence: NC 3212) | |
| Enumeration Date | 2005-08-02 |
| Last Update Date | 2020-08-22 |