| NPI | 1801126958 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS M GROSCH President 818-559-9727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CA g82164) |
| Enumeration Date | 2010-01-12 |
| Last Update Date | 2010-01-12 |