| NPI | 1124453279 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMER KASSAR Owner 219-836-2096 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01073001A) |
| Enumeration Date | 2013-09-09 |
| Last Update Date | 2018-01-31 |