| NPI | 1114119351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAVIER KATSUMI KAMISATO Medical Director 702-458-3800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 6939) |
| Additional Taxonomies | 207KI0005X Allergy & Immunology, Clinical & Laboratory Immunology (Licence: NV 6939) |
| 207Q00000X Family Medicine (Licence: NV 6939) | |
| Enumeration Date | 2007-08-13 |
| Last Update Date | 2012-05-15 |