NPI | 1801926324 |
---|---|
Entity Type | Organization |
Authorized Contact | ADEDAYO O MOKUOLU Owner 702-255-5900 |
Organization Subpart ? | No |
Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology (Licence: NV 5306) |
Enumeration Date | 2007-03-06 |
Last Update Date | 2022-09-27 |