| NPI | 1851005920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OMARI CHUBINIDZE Md 028-364-3185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-01-12 |