| NPI | 1912211954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE ANTOLIN ROBLES Owner 202-723-6599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: DC MD5679) |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology (Licence: DC MD5679) |
| Enumeration Date | 2010-08-02 |
| Last Update Date | 2010-08-02 |