| NPI | 1548886435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKUNJ ARUN RANA Owner / Md 469-422-5796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2020-06-17 |
| Last Update Date | 2021-02-01 |