| NPI | 1275543175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLEMENTE V. ZULUETA Owner 606-693-1078 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2012-07-02 |