| NPI | 1649729161 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | XENETEIA AQUINO Credentialing Specialist 702-818-9397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NV DO1453) |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2016-11-02 |