| NPI | 1144590290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI IBRAHIM Owner 989-996-0566 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301083191) |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2018-06-28 |