| NPI | 1205218070 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAHAT FADERANI President 561-425-5757 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME115180) |
| Additional Taxonomies | 207RS0010X Internal Medicine, Sports Medicine (Licence: FL OS10474) |
| Enumeration Date | 2015-06-29 |
| Last Update Date | 2015-06-29 |