| NPI | 1912218207 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ARMIN FOGHI Medical Director 505-220-5753 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: NM MD2005-0713) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-10-13 |