| NPI | 1730937384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHALED HAMMOUD Owner/Physician 765-588-7675 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology Clinical Neurophysiology |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-11 |