| NPI | 1386200525 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANUEL FESSAHAYE Medical Director 571-282-8699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2019-05-14 |
| Last Update Date | 2019-12-17 |