| NPI | 1134456510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN DOMINIC PAQUETTE Medical Director 916-341-0310 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A91868) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2021-06-14 |