NPI | 1104482595 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERIF AL-HAWAREY Owner 702-294-0080 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P2900X Psychiatry & Neurology, Pain Medicine |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
Enumeration Date | 2019-05-13 |
Last Update Date | 2024-08-05 |