| NPI | 1558013169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TATIANA BOYKO Owner 408-966-0097 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2086S0105X Surgery, Surgery of the Hand |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine | |
| 208600000X Surgery | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2024-01-24 |