| NPI | 1013252121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTIAN A SONNEFELD Owner 304-231-8049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WV 22106) |
| Enumeration Date | 2012-11-29 |
| Last Update Date | 2012-11-29 |