| NPI | 1093876435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIO S BANGCO President 843-347-4473 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 17095) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2011-10-04 |