| NPI | 1013146539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW THOMAS WILSON President 310-777-8830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A53944) |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2012-02-08 |