NPI | 1063584357 |
---|---|
Entity Type | Organization |
Authorized Contact | BRIAN DAVID WOLFF President 239-643-4030 |
Organization Subpart ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME61719) |
Enumeration Date | 2006-11-14 |
Last Update Date | 2020-08-22 |