| NPI | 1326527193 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABHISHIEK SHARMA Member 414-426-1657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-08-12 |
| Last Update Date | 2021-11-05 |