| NPI | 1295266021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL MIRCHOU CEO 702-641-1240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 9244) |
| Additional Taxonomies | 261QM1300X Clinic/Center, Multi-Specialty |
| Enumeration Date | 2017-03-23 |
| Last Update Date | 2017-03-23 |