| NPI | 1760940167 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARYOUSH ZAFAR Managing Partner 239-208-2206 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2019-03-05 |
| Last Update Date | 2022-12-13 |