| NPI | 1962793695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD L DOYAN President 8182-445-4444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CA C50937) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2016-11-17 |