| NPI | 1023079183 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS T HAIDER President 951-413-0964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA G61537) |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical (Licence: CA PA18101) |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A107599) | |
| 207T00000X Neurological Surgery (Licence: CA 20A8197) | |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA G81353) | |
| Enumeration Date | 2006-03-29 |
| Last Update Date | 2010-09-09 |