NPI | 1750643524 |
---|---|
Entity Type | Organization |
Authorized Contact | YU LIU Owner/Provider 260-446-6925 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: IN 01062967A) |
Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: IN 01062967A) |
Enumeration Date | 2012-06-08 |
Last Update Date | 2012-06-08 |