| NPI | 1043256654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC H HANSON Managing Member 702-478-2424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207SG0201X Medical Genetics, Clinical Genetics (M.D.) |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 2083A0100X Preventive Medicine, Aerospace Medicine | |
| 2083P0901X Preventive Medicine, Public Health & General Preventive Medicine | |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2010-08-09 |