| NPI | 1114684826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID BAMSHAD Owner 646-217-2730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2021-11-17 |
| Last Update Date | 2025-03-11 |