| NPI | 1780722314 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IMAN SHAWKI YOUSSEF Member 609-653-1024 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: NJ 25MA07153100) |
| Enumeration Date | 2007-02-04 |
| Last Update Date | 2007-08-10 |