| NPI | 1700052982 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANNARA SAKBUN Owner 812-478-9845 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: IN 01043923A) |
| Enumeration Date | 2008-05-07 |
| Last Update Date | 2008-10-07 |