| NPI | 1639101405 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRENDRA K MISRA Owner 414-431-6760 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: WI 38580) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2007-10-24 |