| NPI | 1043593296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ENRIQUE JOSE LACAYO President/Owner 702-382-6970 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine Gastroenterology (Licence: NV 3199) |
| Enumeration Date | 2011-09-23 |
| Last Update Date | 2011-10-03 |