| NPI | 1962769950 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIK EVENSEN Member 702-822-7400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RB0002X Internal Medicine, Bariatric Medicine (Licence: NV 1170) |
| Enumeration Date | 2012-04-16 |
| Last Update Date | 2012-04-16 |