| NPI | 1225493125 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YEVGENIY KHAVKIN Medical Doctor 310-914-9150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: NV 13271) |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2015-12-29 |