| NPI | 1023222916 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GABRIELLA I GOOD Registered Agent 505-259-8694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NM MD20070033) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2023-09-06 |