NPI | 1831528637 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE WENDL Administrator / AO 702-407-8241 |
Organization Subpart ? | No |
Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NV 14024) |
Enumeration Date | 2013-11-02 |
Last Update Date | 2018-07-25 |