| NPI | 1417597196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARIANNE YANTZ Credentialing Coordinator 561-507-0800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| Enumeration Date | 2020-01-10 |
| Last Update Date | 2021-11-08 |