| NPI | 1205813722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT HANNON Md 800-927-0002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-08-22 |