| NPI | 1205004694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST FLORES Md 304-635-0110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: WV 15939) |
| Enumeration Date | 2008-02-19 |
| Last Update Date | 2011-10-24 |