| NPI | 1285111807 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HIEN LE President 865-235-5111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: TX Q3910) |
| Additional Taxonomies | 208600000X Surgery (Licence: TN 51137) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2019-02-25 |