| NPI | 1356873814 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAM NARAYAN KAVEER NANDIGAM Medical Director 307-222-8529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: TN 53133) |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |