| NPI | 1952442394 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD Y HAFFAR President 920-236-3201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: WI 23069) |
| Enumeration Date | 2007-02-09 |
| Last Update Date | 2020-08-22 |