NPI | 1932801776 |
---|---|
Entity Type | Organization |
Authorized Contact | JESSE FALK Member 702-660-5574 |
Organization Subpart ? | No |
Primary Taxonomy | 204E00000X Oral & Maxillofacial Surgery |
Additional Taxonomies | 207Y00000X Otolaryngology |
Enumeration Date | 2023-03-17 |
Last Update Date | 2023-03-17 |