| NPI | 1578381158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AZIZ MALLIK Member 623-238-3889 |
| Organization Subpart ? | No |
| Primary Taxonomy | 293D00000X Physiological Laboratory |
| Additional Taxonomies | 2084E0001X Psychiatry & Neurology, Epilepsy |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2024-10-01 |
| Last Update Date | 2025-02-21 |