| NPI | 1821459827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TANPRASERTH VATANADILOK Founder/CEO 210-379-7340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2016-03-18 |
| Last Update Date | 2016-03-18 |