| NPI | 1841891744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY THIELEN CEO 808-649-1487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2023-09-27 |