NPI | 1578852869 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL IAN VENGROW Presidnet 866-845-4595 |
Organization Subpart ? | Yes |
Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
Enumeration Date | 2011-04-07 |
Last Update Date | 2011-04-07 |