| NPI | 1982647699 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAMAKRISHNA DEVASTHALI Md/ President 575-449-7005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2017-01-13 |