| 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 |