| NPI | 1033479050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLEN Y WANG Director 617-407-9688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1200X Clinic/Center, Sleep Disorder Diagnostic (Licence: NV 13265) |
| Additional Taxonomies | 174400000X Specialist (Licence: NV 13265) |
| Enumeration Date | 2012-05-23 |
| Last Update Date | 2012-05-23 |