| NPI | 1225067408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRANEE M. JAYASOORIYA Physician 702-869-6070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2008-08-20 |