| NPI | 1710160205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROYA ALI Office Manager 703-481-1145 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: VA 0101044267) |
| Enumeration Date | 2007-12-07 |
| Last Update Date | 2007-12-19 |