| NPI | 1659111243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KONSTANTINOS SEGKOS Member/Manager 774-261-3957 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2024-05-30 |
| Last Update Date | 2024-05-30 |