| NPI | 1336185164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARSHANKUMAR ASHWINBHAI DAVE Owner 304-343-4400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WV 21117) |
| Enumeration Date | 2006-06-21 |
| Last Update Date | 2018-01-26 |