| NPI | 1700933611 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OUEN PONGDEE Radiologist 606-248-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: KY 17332) |
| Enumeration Date | 2007-01-04 |
| Last Update Date | 2011-01-28 |