| NPI | 1619183597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI GORAV President 575-522-7982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: NM 2002-0274) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2009-11-18 |