| NPI | 1518206507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY M BALOURDAS President 619-291-2430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: CA G51351) |
| Enumeration Date | 2013-02-11 |
| Last Update Date | 2013-02-11 |