NPI | 1821481912 |
---|---|
Other Name | I. BASIL KELLER,M.D. NEUROLOGICAL SURGEON, CLINICAL NEUROSCIENCE |
Entity Type | Organization |
Authorized Contact | IRVIN BASIL KELLER Sole Proprietor 772-569-9611 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME19360) |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology (Licence: FL ME19360) |
Enumeration Date | 2015-03-12 |
Last Update Date | 2023-03-07 |