| NPI | 1538249362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA CHARLES BERKOWITZ Physician/President 505-820-0446 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NM 82-167) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2008-03-21 |