| NPI | 1881799567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAIME ENRIQUE TORRES Assistant Professor 843-792-5699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: SC 23846) |
| Enumeration Date | 2006-09-14 |
| Last Update Date | 2020-08-22 |