| 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 |