| NPI | 1457716961 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NUTTANUN SURAMAETHAKUL Md/Owner 801-268-6830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine Infectious Disease (Licence: UT 9492315-1205) |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2016-01-16 |