NPI | 1104840032 |
---|---|
Other Name | KALU NDU BONIFACE AGWU |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: NY 237607) |
Enumeration Date | 2006-07-26 |
Last Update Date | 2015-03-26 |