| NPI | 1487007423 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLOSED CL Authorized 561-000-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: NV 15934) |
| Enumeration Date | 2016-07-14 |
| Last Update Date | 2021-07-23 |