| NPI | 1730430182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENHUI CAI Owner 520-225-0584 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: AZ 40751) |
| Additional Taxonomies | 207ND0900X Dermatology, Dermatopathology (Licence: 36137) |
| 207ZD0900X Pathology, Dermatopathology (Licence: AZ 36137) | |
| 207ZF0201X Pathology, Forensic Pathology (Licence: AZ 36137) | |
| 207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology (Licence: AZ 36137) | |
| 2084B0002X Psychiatry & Neurology, Bariatric Medicine (Licence: AZ 40751) | |
| 2084F0202X Psychiatry & Neurology, Forensic Psychiatry (Licence: AZ 40751) | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: AZ 40751) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: AZ 40751) | |
| 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: AZ 40751) | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine (Licence: AZ 40751) | |
| 363A00000X Physician Assistant (Licence: AZ 3367) | |
| 363AM0700X Physician Assistant, Medical (Licence: AZ 3367) | |
| 363AS0400X Physician Assistant, Surgical (Licence: AZ 3367) | |
| Enumeration Date | 2012-09-25 |
| Last Update Date | 2012-09-25 |