| NPI | 1871811240 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVINDER K SHARMA Owner 269-964-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: MI 4301056788) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |