| NPI | 1043010101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOHAM SHETH President 757-991-0190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 261QI0500X Clinic/Center, Infusion Therapy |
| Enumeration Date | 2025-03-18 |
| Last Update Date | 2025-08-15 |