| NPI | 1700109048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS L DIAZ President 702-371-7606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 174400000X Specialist (Licence: NV NV6124) |
| Enumeration Date | 2010-03-01 |
| Last Update Date | 2022-07-22 |