NPI | 1609322890 |
---|---|
Entity Type | Organization |
Authorized Contact | AISHA SHAREEF Owner/Provider 219-750-9665 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01067804A) |
Enumeration Date | 2016-08-29 |
Last Update Date | 2016-09-29 |