NPI | 1356446090 |
---|---|
Entity Type | Organization |
Authorized Contact | DAE SUNG CHOI President 386-426-5800 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208000000X Pediatrics |
Enumeration Date | 2006-09-14 |
Last Update Date | 2007-10-22 |