| NPI | 1043520687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL CHIKVASHVILI Managing Member 410-363-4301 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2085R0204X Radiology, Vascular & Interventional Radiology | |
| 2085U0001X Radiology, Diagnostic Ultrasound | |
| Enumeration Date | 2010-10-18 |
| Last Update Date | 2010-10-18 |