NPI | 1700118759 |
---|---|
Entity Type | Organization |
Authorized Contact | ALFREDO BALAREZO Physician 734-285-7880 |
Organization Subpart ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MI AB034772) |
Enumeration Date | 2010-02-02 |
Last Update Date | 2010-02-02 |