NPI | 1346137908 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL C BRAUNSTEIN Owner 702-462-0969 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 208D00000X General Practice |
Enumeration Date | 2025-06-18 |
Last Update Date | 2025-06-18 |