| NPI | 1033164462 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THULASIRAMAN P RAVICHANDRAN President 414-382-8960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2007-09-07 |