| NPI | 1639495955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO J OSORNO Doctor/Owner 442-926-2488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: MD D0045148) |
| Enumeration Date | 2010-04-12 |
| Last Update Date | 2010-04-12 |