NPI | 1023419991 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID MOND Registered Agent 305-904-3490 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL ME69880) |
Enumeration Date | 2014-09-10 |
Last Update Date | 2014-09-10 |