| NPI | 1851067300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRADEEP SELVAN CEO 267-391-7459 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 2084V0102X Psychiatry & Neurology Vascular Neurology |
| 2084A2900X Psychiatry & Neurology Neurocritical Care | |
| 2085R0204X Radiology Vascular & Interventional Radiology | |
| Enumeration Date | 2021-08-16 |
| Last Update Date | 2021-08-16 |