| NPI | 1366609927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BIENVENIDO CHAN SIY-HIAN Owner 910-484-1586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NC 21516) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-07-15 |