| NPI | 1619043734 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATAN RYAN SHAOULIAN Owner 3102-578-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CA A72440) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2007-12-13 |