NPI | 1003056755 |
---|---|
Professional Name | TRAVIS H EDELSTEIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL OS12469) |
Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology (Licence: GA 97821) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: VA 0102209297) | |
Enumeration Date | 2009-02-20 |
Last Update Date | 2025-10-02 |