| NPI | 1427892546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XENETEIA AQUINO Credentialing Manager 702-818-9397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0200X Internal Medicine Critical Care Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 207RN0300X Internal Medicine Nephrology | |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-08-21 |