| NPI | 1467638668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMAR B CABAHUG President 702-914-6994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2008-01-17 |
| Last Update Date | 2020-11-12 |