| NPI | 1144456757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VASUDEVA IYER Member 502-708-1338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology |
| Enumeration Date | 2009-06-09 |
| Last Update Date | 2014-04-02 |