NPI | 1467731406 |
---|---|
Doing Business As | BRIARCLIFFE NEUROLOGY |
Entity Type | Organization |
Authorized Contact | GAMAL S BOUTROS Owner 843-427-4828 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: SC 33487) |
Enumeration Date | 2011-08-09 |
Last Update Date | 2011-08-09 |