| NPI | 1144395633 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRAMOTE ANANTACHAI President Co Owner 619-997-0166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: IL 3650261) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |