| NPI | 1366715245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRAHAM A GLASS Member 800-764-7690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: AK 6563) |
| Enumeration Date | 2012-02-22 |
| Last Update Date | 2012-02-23 |