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 |