| NPI | 1174913347 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHOK J BHARUCHA Md 608-797-8287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA MD070573L) |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2015-01-27 |