| NPI | 1659145100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARID UD DIN Owner 539-666-0919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2023-11-14 |
| Last Update Date | 2023-11-14 |