| NPI | 1760684609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVEH KHAJAVI Owner 404-299-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 51201) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: GA 51201) |
| Enumeration Date | 2007-06-04 |
| Last Update Date | 2013-02-07 |