| NPI | 1982952107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RIZWAN ALI Authorized Delegate 855-239-6299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2012-08-20 |
| Last Update Date | 2012-08-20 |