| NPI | 1922563410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | UMAMAHESWARI CHETHANA MUKKAMALLA Surrogate 305-469-9852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0204X Radiology, Vascular & Interventional Radiology |
| Enumeration Date | 2019-02-08 |
| Last Update Date | 2019-02-08 |