| NPI | 1821822669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATANIT WATANABOONYAKHET Owner 701-838-3728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2024-08-26 |
| Last Update Date | 2024-08-26 |