| NPI | 1962100891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ITTAY O MORENO President 915-400-5871 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 208M00000X Hospitalist |
| Enumeration Date | 2023-02-20 |
| Last Update Date | 2023-02-22 |