NPI | 1871723684 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIAS DAGNEW Physician/President 678-938-8459 |
Organization Subpart ? | No |
Primary Taxonomy | 207T00000X Neurological Surgery (Licence: GA 054606) |
Enumeration Date | 2009-07-15 |
Last Update Date | 2019-12-19 |