| NPI | 1952598112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMSON K CHEMPLAVIL Provider 702-735-4094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: NV 9370) |
| Additional Taxonomies | 207RS0012X Internal Medicine, Sleep Medicine (Licence: NV 93770) |
| Enumeration Date | 2007-10-01 |
| Last Update Date | 2007-10-16 |