| NPI | 1275668006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOTASEM A AL YACOUB President 401-724-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: RI MD 09501) |
| Additional Taxonomies | 103G00000X Clinical Neuropsychologist (Licence: RI ps00999) |
| 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA 212368) | |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2018-06-20 |