| 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 |