| NPI | 1508164948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN MICHAEL PEREIRA President And Medical Director 707-546-3952 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA A-70278) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: CA A70278) |
| 207T00000X Neurological Surgery (Licence: WI 39920) | |
| Enumeration Date | 2011-03-09 |
| Last Update Date | 2011-04-14 |