| NPI | 1154892107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOHAM SHETH Operating Manager 757-941-7843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084N0008X Psychiatry & Neurology, Neuromuscular Medicine |
| 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology | |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine | |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2022-11-30 |