| NPI | 1174948434 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS FREDERICK GOODALL President 937-723-3525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: OH 34002454) |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2014-02-24 |