| NPI | 1063604874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHAKIRAN J SUNKU Owner 719-546-9500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
| Additional Taxonomies | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2007-08-15 |
| Last Update Date | 2007-08-15 |