| NPI | 1902004997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKRAMADITYA DULAM Member/Manager 601-304-9718 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0200X Clinic/Center, Radiology (Licence: MS 012022) |
| Enumeration Date | 2007-07-11 |
| Last Update Date | 2007-07-17 |