| NPI | 1407944689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EGILS KNUTS BOGDANOVICS Owner 860-496-2198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2012-11-09 |