| NPI | 1053775189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIKRAM R SHUKLA Sole Proprietor 704-868-8988 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 33304) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2016-04-05 |