| NPI | 1841432325 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BHARAT TOLIA President 386-445-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: MI 4301041039) |
| Enumeration Date | 2009-03-31 |
| Last Update Date | 2009-03-31 |