| NPI | 1114691268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREAS HANS GOMOLL Owner/Physician 617-610-4858 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2021-10-13 |