| NPI | 1912250929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHUBHANGI A CHUMBLE President 276-632-4181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: VA 0101230513) |
| Enumeration Date | 2012-10-16 |
| Last Update Date | 2012-10-16 |