| NPI | 1144887050 |
|---|---|
| Doing Business As | ST MIKES NEPH |
| Entity Type | Organization |
| Authorized Contact | ERNEST DANIEL MORENO DYTIAPCO Nephrologist 986-200-8202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2019-05-26 |
| Last Update Date | 2019-07-14 |