| NPI | 1619239597 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAGANDEEP DHALIWAL Member 256-604-0434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084B0040X Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry (Licence: AL 24823) |
| Enumeration Date | 2012-06-15 |
| Last Update Date | 2012-06-15 |