NPI | 1518273028 |
---|---|
Entity Type | Organization |
Authorized Contact | JEANNIE KHAVKIN President 702-242-3223 |
Organization Subpart ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery |
Additional Taxonomies | 207Y00000X Otolaryngology |
Enumeration Date | 2010-08-20 |
Last Update Date | 2010-08-20 |