| NPI | 1568768935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEEPAK MADHAVAN President 402-552-2270 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2011-02-02 |
| Last Update Date | 2011-02-02 |