| NPI | 1699594580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IBRAHIM BINALSHEIKH Owner 573-239-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |