| NPI | 1659511780 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIHAL HERATH Owner 262-787-5400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology (Licence: WI 40848-020) |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2010-03-16 |