| NPI | 1417647033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORDANA NOREEN CHETA Manager 702-504-0283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine, Critical Care Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2023-05-08 |
| Last Update Date | 2023-05-08 |