| NPI | 1881490589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BO PANG President 207-216-5298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207YS0123X Otolaryngology Facial Plastic Surgery |
| 207YX0602X Otolaryngology Otolaryngic Allergy | |
| 261QH0100X Clinic/Center Health Service | |
| Enumeration Date | 2025-02-22 |
| Last Update Date | 2025-02-25 |