| NPI | 1750515532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI BINDRA Office Manager 731-286-0149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 174400000X Specialist (Licence: TN 21989) |
| Enumeration Date | 2009-05-08 |
| Last Update Date | 2022-04-12 |