| NPI | 1528303047 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SASIDHAR PAMGANAMAMULA Consultant 765-537-8696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084S0012X Psychiatry & Neurology, Sleep Medicine |
| Enumeration Date | 2012-12-10 |
| Last Update Date | 2012-12-10 |