NPI | 1881972735 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH L ODINET Owner 337-234-8648 |
Organization Subpart ? | No |
Primary Taxonomy | 208200000X Plastic Surgery (Licence: 019937) |
Additional Taxonomies | 207Y00000X Otolaryngology (Licence: LA 019937) |
Enumeration Date | 2011-07-26 |
Last Update Date | 2011-07-26 |