| NPI | 1679825483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEVGENIY KHAVKIN Owner 702-603-5455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NV 13271) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: NV 16579) |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: NV 9962) | |
| 207T00000X Neurological Surgery (Licence: AZ 50337) | |
| 207T00000X Neurological Surgery (Licence: AZ 44750) | |
| 207T00000X Neurological Surgery (Licence: NV 15590) | |
| 207L00000X Anesthesiology (Licence: NV 1185) | |
| 207YS0123X Otolaryngology, Facial Plastic Surgery (Licence: NV 13577) | |
| Enumeration Date | 2012-10-04 |
| Last Update Date | 2025-09-26 |