| NPI | 1952670382 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA LEON GUERRERO Business Manager 671-647-4656 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine Hematology & Oncology |
| Enumeration Date | 2011-12-13 |
| Last Update Date | 2014-11-06 |