| NPI | 1538227707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALLIKA BASU Manager 408-556-8407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RR0500X Internal Medicine, Rheumatology |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XS0106X Orthopaedic Surgery, Hand Surgery | |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine | |
| 213ES0000X Podiatrist, Sports Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2014-07-24 |