| NPI | 1174861942 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT W METZ CFO 505-217-2490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NM 86-083) |
| Additional Taxonomies | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NM 89-87) |
| Enumeration Date | 2013-01-29 |
| Last Update Date | 2014-11-14 |