| NPI | 1386009314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRES PEISAJOVICH Owner 505-205-1313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology (Licence: NM MD2008-0660) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2016-06-22 |