| NPI | 1194214882 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD A GOLDBERG Owner 866-393-9869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine |
| Enumeration Date | 2018-05-08 |
| Last Update Date | 2018-07-16 |