| NPI | 1225551856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOKESH S TANTAUWAYA Physician / Owner 858-300-2626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WY 10014A) |
| Enumeration Date | 2017-07-25 |
| Last Update Date | 2017-07-25 |