| NPI | 1700696770 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMAL KSAR President 239-331-5566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Additional Taxonomies | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2025-01-10 |
| Last Update Date | 2025-01-10 |