| NPI | 1568659456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AKIF M HASAN Owner 812-944-0367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01052746A) |
| Enumeration Date | 2007-09-25 |
| Last Update Date | 2007-09-25 |