NPI | 1699912378 |
---|---|
Entity Type | Organization |
Authorized Contact | KYLE S CHOE Medical Director 757-389-5850 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: VA 0101235723) |
Enumeration Date | 2009-01-16 |
Last Update Date | 2009-01-26 |