| NPI | 1043845548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIA LOURDES TRONCALES MALICDEM Owner 810-513-8063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RB0002X Internal Medicine, Bariatric Medicine |
| Enumeration Date | 2020-03-05 |
| Last Update Date | 2020-03-05 |