| NPI | 1902304769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYONA BEAUCHAMP Authorized Official 702-407-8241 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: NV 17156) |
| Enumeration Date | 2018-01-26 |
| Last Update Date | 2018-02-06 |