| NPI | 1609241322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRI ZIVKO PITOVSKI Physician/ CEO 866-250-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology | |
| 207YX0602X Otolaryngology, Otolaryngic Allergy | |
| Enumeration Date | 2015-12-07 |
| Last Update Date | 2015-12-21 |