| NPI | 1861447419 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVISH V PATWARDHAN Owner 318-797-5543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: LA 14643R) |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2008-03-31 |