| NPI | 1578218095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MANDEEP GAREWAL Manager 386-676-6335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| 2084S0012X Psychiatry & Neurology, Sleep Medicine | |
| Enumeration Date | 2022-02-14 |
| Last Update Date | 2023-11-14 |