| NPI | 1386148617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABINO DAGOSTINO Managing Member 843-553-7615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| Enumeration Date | 2018-03-21 |
| Last Update Date | 2019-09-16 |