| NPI | 1013490846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON LIU Member 702-308-2453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: CA 72258) |
| Additional Taxonomies | 2085U0001X Radiology, Diagnostic Ultrasound |
| Enumeration Date | 2018-09-07 |
| Last Update Date | 2018-09-07 |