| NPI | 1023243359 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL JORDAN SOLOMON President 619-876-1192 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CA A54759) |
| Enumeration Date | 2009-05-15 |
| Last Update Date | 2009-05-15 |