| NPI | 1992137590 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TSEDAY SIRAK Director 855-739-9953 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: VA 0101242816) |
| Additional Taxonomies | 207UN0901X Nuclear Medicine, Nuclear Cardiology (Licence: VA 0101242816) |
| Enumeration Date | 2013-08-06 |
| Last Update Date | 2014-04-28 |