| NPI | 1295262160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AJAY MHATRE Owner 386-344-0653 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
| Additional Taxonomies | 2085R0204X Radiology Vascular & Interventional Radiology |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2022-07-21 |