| NPI | 1720445513 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | G. PAUL DEROSA President 919-414-2043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery (Licence: NC 9500553) |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |