| NPI | 1710288287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELDON S KABAKER Owner/President 510-451-1116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YS0123X Otolaryngology Facial Plastic Surgery (Licence: CA G12959) |
| Enumeration Date | 2010-11-15 |
| Last Update Date | 2010-11-15 |