| NPI | 1659380863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW HOLTZMAN Owner 734-721-4739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2023-04-27 |