| NPI | 1528038866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRYAN M PEREIRA President 920-846-8057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: WI 39920-20) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2008-10-20 |