| NPI | 1922116219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MUKUND C RAJA President 770-962-0220 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology Gynecology |
| 237600000X Audiologist-Hearing Aid Fitter (Licence: GA AUD003681) | |
| Enumeration Date | 2006-08-27 |
| Last Update Date | 2008-06-20 |