| NPI | 1275413353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSS SHERBAN Manager 844-733-3774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2025-09-08 |
| Last Update Date | 2025-09-08 |