| NPI | 1811404510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN BUSFIELD President 415-310-7634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: CA A82241) |
| Enumeration Date | 2018-01-03 |
| Last Update Date | 2018-01-03 |