| NPI | 1477686749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIDIER P CROS Proprietor 617-720-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MA P58685) |
| Additional Taxonomies | 174400000X Specialist (Licence: MA P-58685) |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2015-02-27 |