| NPI | 1487531059 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER SIMON Member/Organizer 704-787-0057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2025-08-18 |
| Last Update Date | 2025-08-18 |