| NPI | 1740798560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYONA BEAUCHAMP Authorized Official 702-407-8241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology (Licence: NV 13713) |
| Enumeration Date | 2018-01-15 |
| Last Update Date | 2018-01-15 |