NPI | 1639280118 |
---|---|
Entity Type | Organization |
Authorized Contact | NONG SABIO Office Manager 702-314-2400 |
Organization Subpart ? | No |
Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: NV 54847) |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine (Licence: NV 54847) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2020-08-22 |