| NPI | 1306123476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONAH LICHT Owner 401-277-9729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology |
| Additional Taxonomies | 207RN0300X Internal Medicine Nephrology |
| Enumeration Date | 2011-11-03 |
| Last Update Date | 2023-07-11 |