| NPI | 1770624637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NILIMA DAFTARY SHUKLA Physician 704-480-1882 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: NC 20933553) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2019-03-30 |