| NPI | 1376786160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARA OKSHTEYN Owner 505-603-9212 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism (Licence: MD2006-0716) |
| Enumeration Date | 2009-04-09 |
| Last Update Date | 2009-04-09 |