| NPI | 1730295387 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL TROFFKIN Board Member 270-688-1770 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 174400000X Specialist |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant Medical | |
| 363AS0400X Physician Assistant Surgical | |
| 363L00000X Nurse Practitioner | |
| 363LA2100X Nurse Practitioner Acute Care | |
| Enumeration Date | 2006-08-23 |
| Last Update Date | 2025-02-11 |