| NPI | 1841563293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE S ENG Administrator 408-923-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: CA G42226) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |