NPI | 1588957500 |
---|---|
Doing Business As | HONOLULU NEUROSCIENCE CLINIC |
Entity Type | Organization |
Authorized Contact | MICHAEL BRIAN RUSSO Owner, Doctor 301-775-8731 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: HI 14968) |
Enumeration Date | 2011-05-24 |
Last Update Date | 2017-04-19 |