| NPI | 1609909225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TWATCHAI YAMCHARERN President 317-272-1935 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0122X Surgery, Plastic and Reconstructive Surgery (Licence: IN 01034715) |
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: IN 01034715) |
| 2082S0099X Plastic Surgery, Plastic Surgery Within the Head and Neck (Licence: IN 01034715) | |
| 2082S0105X Plastic Surgery, Surgery of the Hand (Licence: IN 01034715) | |
| 2086S0105X Surgery, Surgery of the Hand (Licence: IN 01034715) | |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2008-04-20 |