| NPI | 1578253167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMER GHANEM Owner 947-957-8315 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2024-01-31 |