| NPI | 1861784753 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANY KIN MOON QUAN Member 602-388-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PT0002X Emergency Medicine, Medical Toxicology (Licence: AZ 4447) |
| Enumeration Date | 2011-05-10 |
| Last Update Date | 2014-01-28 |