NPI | 1134450885 |
---|---|
Entity Type | Organization |
Authorized Contact | ANTHONY SANDOVAL Owner 505-662-7008 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: NM 84-112) |
Enumeration Date | 2010-01-20 |
Last Update Date | 2019-01-31 |