| NPI | 1588611537 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES S GIFFIN Owner 260-625-5071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology, Plastic Surgery within the Head & Neck |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2007-10-04 |