| NPI | 1508522350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITHYALAKSHMI SELVARAJ Owner 402-991-9630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2021-11-15 |
| Last Update Date | 2021-12-30 |