| NPI | 1033476023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK EVENSEN Member 702-778-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine Obesity Medicine |
| Additional Taxonomies | 207QS0010X Family Medicine Sports Medicine |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2013-07-09 |