| NPI | 1982181608 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASEN C. CHI Sole Owner 501-500-5001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: AR E-3762) |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2021-02-17 |