| NPI | 1033823554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINIVAS TUMMALA Owner 954-852-3831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2023-01-09 |
| Last Update Date | 2024-05-07 |