| NPI | 1104484641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHELSEA HART Credentialing 775-391-5998 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RI0011X Internal Medicine, Interventional Cardiology |
| Enumeration Date | 2019-05-30 |
| Last Update Date | 2019-10-17 |