| NPI | 1972613560 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BELANJE SUDHAKARA HEGDE President 850-893-8920 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology (Licence: FL 23629) |
| Additional Taxonomies | 2085R0202X Radiology Diagnostic Radiology (Licence: GA 019952) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2008-06-16 |