| NPI | 1053655969 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YAKOV SHAPOSHNIKOV Owner 702-737-3337 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NV 8002) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2018-06-16 |