| NPI | 1932954971 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIROSE CUTILLAR Owner 775-813-7847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RG0300X Internal Medicine, Geriatric Medicine |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-06-06 |