| NPI | 1114271665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PANNA RAMANLAL SHAH Physician 619-403-1701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA c53290) |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2012-11-06 |