| NPI | 1962691774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMUEL LEHMAN Owner 9133-345-4814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: KS 04-23984) |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2008-10-23 |