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 |