| NPI | 1588620991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWACHAI ONSANIT President 757-464-5642 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery (Licence: VA 0101027846) |
| Enumeration Date | 2006-04-25 |
| Last Update Date | 2020-08-22 |