| NPI | 1528011194 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IHOR SAWCZUK President 551-996-5045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080N0001X Pediatrics, Neonatal-Perinatal Medicine |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| 2086S0120X Surgery, Pediatric Surgery | |
| 207X00000X Orthopaedic Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| Enumeration Date | 2006-05-17 |
| Last Update Date | 2013-12-10 |