| NPI | 1205076387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAI YUAN WANG Owner 479-968-4311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: AR E5291) |
| Enumeration Date | 2009-03-02 |
| Last Update Date | 2009-03-13 |