Five board-certified neurologists and four advanced practice providers caring for adults across two Southern Nevada locations.
Nevada's first physician-owned outpatient EDX lab to earn it.
Founder certified in Neurology, Vascular Neurology & Neuromuscular Medicine.
Independent and physician-led since 1998 — rooted in Southern Nevada.
Partnered with the Global Alzheimer's Platform Foundation on biomarker research.
Whatever your concern, our physician-owned team brings accredited diagnostics and subspecialty depth to every evaluation.

Dr. Germin has practiced neurology in Las Vegas since 1996 and founded CNS in 1998. He is triple board-certified and built the practice around its accredited laboratory. He earned his medical degree at Vilnius University in Lithuania, then completed a neurology residency through the WLAMC/UCLA program and a neuromuscular fellowship at UC San Diego. His clinical focus is neuromuscular and electrodiagnostic medicine, cerebrovascular ultrasound, dementia, and secondary stroke prevention.

Dr. Knirk is a board-certified neurologist who has practiced in Las Vegas since 2015. She brings the breadth that defines strong general neurology — evaluating headache, numbness, tremor, memory change, seizure, and dizziness. She earned her medical degree at Michigan State University and completed her neurology residency at the University of Illinois College of Medicine in Peoria. She also provides botulinum toxin (Botox) therapy, an FDA-approved preventive treatment for adults with chronic migraine.

Dr. Lujan is a board-certified neurologist with more than 23 years in clinical neurology, including eight years as a United States Air Force physician. He is a true general neurologist who treats the full range of the specialty — headache, MS, peripheral nerve disease, epilepsy, stroke, memory, and movement disorders. He earned his medical degree at the University of Arizona and completed his internship and neurology residency at Wilford Hall Medical Center in San Antonio.

Dr. Gutglueck is an ABPN board-certified neurologist with fellowship training in Neuromuscular Medicine from Duke University, where he also completed his internship and neurology residency. He earned his bachelor's degree at UC Berkeley. His interests include EMG and nerve conduction studies, neuromuscular ultrasound, and cognitive and behavioral neurology — the precise evaluation of nerve and muscle disease.

Dr. Panduranga is a board-certified neurologist and fellowship-trained epileptologist. He completed fellowship training in epilepsy and clinical neurophysiology at Oregon Health & Science University and the Portland VA, and previously served as a clinical associate professor of neurology at OHSU. He graduated summa cum laude from Vanderbilt University and earned his medical degree at New York Medical College. His expertise centers on epilepsy and EEG, including management of VNS and DBS devices.

Board-certified by the NCCPA with a background in pain management, Alissa earned her PA degree at Touro University Nevada. She sees patients for neurological evaluation and follow-up in collaboration with the neurologists.

A Multiple Sclerosis Certified Nurse (MSCN), Fara provides whole-person care for adults living with MS, secondary stroke prevention, and chronic neurological conditions, collaborating with Dr. Germin. She completed her nursing degrees at Loma Linda University and is dual board-certified.

Board-certified by the NCCPA with a decade of experience — including orthopaedic hand surgery at Johns Hopkins and high-volume urgent care. She earned her PA degrees at King's College in Pennsylvania and sees patients for neurological evaluation and follow-up.

Board-certified by the NCCPA with more than seven years in cardiothoracic, vascular, and neurosurgery in Southern Nevada. She earned her PA degree at Touro University Nevada and evaluates patients in collaboration with the neurologists.
Our team can route you to the neurologist whose focus fits your symptoms — epilepsy, neuromuscular testing, vascular, headache, or general neurology.
Request an appointment at our Las Vegas or Henderson office, or call our team directly. New patients and physician referrals are welcome at both locations.