| NPI | 1376889295 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINLOVE BONPUA SUASIN Owner 671-488-6893 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0001X Radiology, Radiation Oncology (Licence: HI MD11138) |
| Enumeration Date | 2012-12-20 |
| Last Update Date | 2012-12-20 |