NPI | 1962604884 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDER LEON PORTNEY Medical Director 702-240-0874 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: NV 9534) |
Enumeration Date | 2007-06-04 |
Last Update Date | 2010-12-03 |