| NPI | 1831225465 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARIQ A SARTAWI Owner 606-666-9909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: KY 36227) |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery (Licence: KY 36227) |
| Enumeration Date | 2007-02-26 |
| Last Update Date | 2008-11-14 |