| NPI | 1366681538 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROLAND JAYSON PUA Owner 702-638-7705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NV 12103) |
| Enumeration Date | 2009-02-11 |
| Last Update Date | 2016-10-07 |