| NPI | 1518136241 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PANNA SHAH Physiccian Owner 619-403-1701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: AZ 33297) |
| Enumeration Date | 2008-02-27 |
| Last Update Date | 2012-08-21 |