NPI | 1518911668 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMAL KSAR President 239-331-5566 |
Organization Subpart ? | No |
Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology (Licence: FL NA) |
Additional Taxonomies | 2085N0904X Radiology, Nuclear Radiology (Licence: FL NA) |
2085R0204X Radiology, Vascular & Interventional Radiology (Licence: FL NA) | |
Enumeration Date | 2006-05-22 |
Last Update Date | 2024-05-16 |