| NPI | 1285962530 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY TRISTAN QUIROGA President 302-678-8981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: DE C1-0D00925) |
| Enumeration Date | 2009-11-25 |
| Last Update Date | 2009-11-25 |