| NPI | 1962169227 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUISA FERNANDA ANGEL BUITRAGO President 939-419-8866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology, Neurology with Special Qualifications in Child Neurology |
| Additional Taxonomies | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology |
| Enumeration Date | 2021-11-22 |
| Last Update Date | 2021-11-22 |