| NPI | 1780139170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAE HOON LEE Provider 702-357-8811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0300X Internal Medicine, Geriatric Medicine (Licence: NV 16509) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2017-05-24 |