| NPI | 1295050409 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGILIO GERALD HILARIO EVIDENTE Sole Member 480-526-5449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2012-05-02 |