| NPI | 1033292891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY KUMAR VERMA Medical Director 386-775-1612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085B0100X Radiology, Body Imaging (Licence: FL ME75332) |
| Enumeration Date | 2006-10-23 |
| Last Update Date | 2010-02-24 |