| NPI | 1053759183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJESH K AILANI Owner 386-423-0505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME73099) |
| Enumeration Date | 2013-06-11 |
| Last Update Date | 2014-03-13 |