| NPI | 1144533175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAO LONG HUYNH President 612-396-8602 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: FL me101771) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: FL me101771) |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2012-01-12 |