NPI | 1992032338 |
---|---|
Entity Type | Organization |
Authorized Contact | KHALED M SHUKAIRY Owner 810-742-0225 |
Organization Subpart ? | No |
Primary Taxonomy | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck (Licence: MI 4301037118) |
Additional Taxonomies | 207RS0012X Internal Medicine Sleep Medicine (Licence: MI 4301085139) |
237600000X Audiologist-Hearing Aid Fitter (Licence: MI 1601000320) | |
Enumeration Date | 2009-11-05 |
Last Update Date | 2011-02-16 |