| NPI | 1962893974 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHETPAILIN AMARALIKIT President 571-218-5788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: VA 0101244099) |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2015-02-12 |