| NPI | 1144409228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEETER JAKOBSON President 334-671-1696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL UNKNOWN) |
| Additional Taxonomies | 2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL UNKNOWN) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2007-10-25 |