| NPI | 1003950973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD MATTHEW ROTH Parnter 702-258-1601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2019-02-05 |