| NPI | 1659774685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIKOLAY STAMBOLIYSKI Authorized Person 321-751-0041 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME81256) |
| Enumeration Date | 2014-10-05 |
| Last Update Date | 2014-12-19 |