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 |