| NPI | 1003903527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHARLES GONG Managing Owner 702-614-0850 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 7222) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2018-08-06 |