NPI | 1164634655 |
---|---|
Doing Business As | BOONSONG ANAN, M.D.,INC |
Entity Type | Organization |
Authorized Contact | BOONSONG ANAN Medical Doctor 909-627-8522 |
Organization Subpart ? | No |
Primary Taxonomy | 208800000X Urology (Licence: CA A316890) |
Enumeration Date | 2007-05-04 |
Last Update Date | 2007-11-16 |