| NPI | 1477607778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | J. PABLO OTERO Practice Administrator 202-785-4298 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: DC MD14270) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2008-06-11 |