| NPI | 1174708325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS GREGORIO PANUNCIALMAN General Surgeon 702-474-2460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NV 10313) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |