| NPI | 1083879217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMAD IDRISS President 575-522-1059 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NM 78-41) |
| Enumeration Date | 2008-07-28 |
| Last Update Date | 2008-07-28 |