| NPI | 1528104346 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY N NGO Onwer 857-205-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist |
| Additional Taxonomies | 246XS1301X Spec/Tech, Cardiovascular, Sonography |
| 2471S1302X Radiologic Technologist, Sonography | |
| 2471V0105X Radiologic Technologist, Vascular Sonography | |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |