| NPI | 1063236461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MINMIN SONG Owner/Executive Officer 775-527-3621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine Geriatric Medicine |
| Additional Taxonomies | 163WW0000X Registered Nurse Wound Care |
| 207QG0300X Family Medicine Geriatric Medicine | |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2024-11-12 |
| Last Update Date | 2024-11-12 |