| NPI | 1306826060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GONZALO F PARES Owner 864-574-8925 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: SC 17884) |
| Enumeration Date | 2006-01-19 |
| Last Update Date | 2025-04-14 |