| NPI | 1982965968 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA M. CARLOW Office Manager 561-833-4054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: FL ME0059569) |
| Enumeration Date | 2012-06-06 |
| Last Update Date | 2012-06-06 |