| NPI | 1134303621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEMI A PRIETO President 414-463-6640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: WI 26529) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: WI 48505) |
| Enumeration Date | 2007-12-20 |
| Last Update Date | 2007-12-20 |