| NPI | 1063113553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAL DAVID President 858-412-6080 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2023-03-13 |