| NPI | 1821227562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EDWARD EASTHAM Medical Director 408-315-1814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA G65379) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2009-07-17 |