| NPI | 1780763078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRO J YUN Owner 270-765-5127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 231H00000X Audiologist |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2018-04-10 |