| NPI | 1467193300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY JEFFERSON LINER Physician 985-507-5259 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2022-04-05 |