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 |