| NPI | 1366228348 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDY KIM Practice Administrator 424-443-4749 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2023-09-05 |
| Last Update Date | 2024-08-27 |