| NPI | 1356596134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY K NELLUTLA President 702-649-8009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NV 10766) |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2010-09-28 |