| NPI | 1083017669 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIMITRIY KONDRASHOV Medical Director 415-750-5847 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: CA A92439) |
| Enumeration Date | 2014-09-26 |
| Last Update Date | 2015-09-15 |