| NPI | 1659795466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IFTIKHAR RASUL President 863-206-0015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL ME88613) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL ME88613) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-02-13 |