| NPI | 1952373995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NARAYANA MENTA PRASANNA Owner/President 207-760-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Y00000X Otolaryngology (Licence: ME 008959) |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2016-02-25 |