| NPI | 1639431851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS LUNA Doctor 201-926-8384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NJ 25MA07806100) |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education (Licence: NY 35592907) |
| Enumeration Date | 2012-06-13 |
| Last Update Date | 2012-06-13 |