NPI | 1871918342 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH W. SANDERS Md 318-469-1956 |
Organization Subpart ? | No |
Primary Taxonomy | 207YS0123X Otolaryngology, Facial Plastic Surgery |
Additional Taxonomies | 207YS0012X |
Enumeration Date | 2014-02-20 |
Last Update Date | 2014-02-20 |