| NPI | 1700453503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICHOLAS E. GLASER President 800-243-3839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YP0228X Otolaryngology, Pediatric Otolaryngology |
| Enumeration Date | 2021-06-09 |
| Last Update Date | 2024-08-02 |