| NPI | 1932275021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANIVA BACK Practice Manager 505-848-3730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease (Licence: NM FA0003189) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-12-23 |