| NPI | 1831322528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT E BERRY President 858-571-0606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX M1511) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX M1511) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2010-12-10 |