| NPI | 1700941317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON GARST Business Manager 2059-338-9891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: AL 15699) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2011-01-27 |