| NPI | 1902403793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL LEVY Credentialing Manager 702-899-4509 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208M00000X Hospitalist |
| Additional Taxonomies | 207RG0100X Internal Medicine, Gastroenterology |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2023-05-01 |