| NPI | 1912004920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICARDO PEVERINI President 909-558-7448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207P00000X Emergency Medicine |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2019-07-19 |