NPI | 1750573739 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL V DITULLIO Physican 508-238-8646 |
Organization Subpart ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: MA 32515) |
Enumeration Date | 2007-08-14 |
Last Update Date | 2007-08-14 |