NPI | 1750581880 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER LEE SUREK Owner 225-658-1960 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: LA DO000011) |
Enumeration Date | 2007-07-18 |
Last Update Date | 2007-07-20 |