| NPI | 1538436167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD HUMFELD Office Manager 662-396-9447 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MS 18354) |
| Enumeration Date | 2011-11-28 |
| Last Update Date | 2014-10-07 |