| NPI | 1225201841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO J LARRAIN Owner 386-736-1404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: FL ME0062589) |
| Enumeration Date | 2008-04-03 |
| Last Update Date | 2008-04-03 |