| NPI | 1912164401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAOUL G BINIAURISHVILI CEO 215-464-7820 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: PA MD048245L) |
| Additional Taxonomies | 2084S0012X Psychiatry & Neurology, Sleep Medicine (Licence: PA MD048245L) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |