| NPI | 1154670511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERVIN ESHRAGHI Owner 704-717-7002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: NC 200501804) |
| Enumeration Date | 2012-08-31 |
| Last Update Date | 2012-08-31 |