| NPI | 1972820637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JORGE LUIS SARMIENTO Radiology Fellow 262-337-2118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 282N00000X General Acute Care Hospital (Licence: TX BP10037797) |
| Enumeration Date | 2010-04-21 |
| Last Update Date | 2010-04-21 |