| NPI | 1356893879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIALNTHA ELLEGALA Owner 434-200-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: VA 0101250836) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |