| NPI | 1245395722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON K MORRIS Md 716-435-5044 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: AR E0389) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |