| NPI | 1891975561 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C. GRANT LA FARGE President 505-982-7661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080P0202X Pediatrics, Pediatric Cardiology (Licence: NM 1289503) |
| Enumeration Date | 2007-11-09 |
| Last Update Date | 2007-11-09 |