| NPI | 1972648160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHERINE FASSNACHT DOGALI Admin Assist 559-999-0385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CA G80285) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |