| NPI | 1619053881 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VENKATA K SHARMA President 262-652-7813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WI 21846) |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2007-09-26 |