| NPI | 1942470182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANDROTH VELANDY PURUSHOTHAMAN Dr 252-247-5426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NC 200001544139) |
| Enumeration Date | 2008-03-04 |
| Last Update Date | 2008-03-04 |