| NPI | 1902017825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN CACERES OLEGARIO President 605-996-9141 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: SD 5718) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2020-08-22 |