| NPI | 1811194533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE HANDELMAN Medical Director 702-617-2995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2020-08-22 |