| NPI | 1437443934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT H INGHAM Manager 702-227-6947 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: NV 8804) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: NV 10462) |
| Enumeration Date | 2011-06-02 |
| Last Update Date | 2019-01-11 |