| NPI | 1700838042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHENDRA DEFONSEKA Owner 702-565-3037 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NV NV3983) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2014-03-05 |