| NPI | 1881074805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAIN MASON President 239-231-1393 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085N0700X Radiology, Neuroradiology (Licence: FL ME78629) |
| Additional Taxonomies | 207T00000X Neurological Surgery (Licence: FL ME78629) |
| 208600000X Surgery (Licence: FL ME78629) | |
| Enumeration Date | 2015-06-04 |
| Last Update Date | 2015-06-04 |