NPI | 1518929629 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD A EISENBERG Owner 803-642-6500 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: SC 17067) |
Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
Enumeration Date | 2006-04-04 |
Last Update Date | 2012-03-07 |