| NPI | 1366765273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDY V SMITH Administrator 702-395-1872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology (Licence: NV 5653) |
| Additional Taxonomies | 207LC0200X Anesthesiology, Critical Care Medicine (Licence: NV 5653) |
| Enumeration Date | 2010-03-05 |
| Last Update Date | 2010-03-05 |