| NPI | 1205208352 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER J LESAR Organizer 423-602-2750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology (Licence: TN MD37354) |
| Enumeration Date | 2015-10-28 |
| Last Update Date | 2024-07-23 |