| NPI | 1710256276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PITAYA CHAITUM Registered Sonographer 201-667-0327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246XS1301X Spec/Tech, Cardiovascular, Sonography |
| Additional Taxonomies | 246X00000X Spec/Tech, Cardiovascular |
| 246XC2903X Spec/Tech, Cardiovascular, Vascular Specialist | |
| 2471S1302X Radiologic Technologist, Sonography | |
| 2471V0105X Radiologic Technologist, Vascular Sonography | |
| Enumeration Date | 2011-12-29 |
| Last Update Date | 2016-11-10 |