| NPI | 1366421398 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WON K MOON Staff Family Medicine 349-568-2890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 286500000X Military Hospital (Licence: CA A74239) |
| Enumeration Date | 2006-01-10 |
| Last Update Date | 2020-08-22 |