| NPI | 1639446693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW MINGRONE Medical Director 408-374-4370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery |
| Enumeration Date | 2011-11-18 |
| Last Update Date | 2011-11-18 |