| NPI | 1023315587 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHMOOD GHIYATH ALNAHASS Owner 219-531-6571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01055878A) |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2011-02-18 |