| NPI | 1992380943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SEAN M. REED Director Of Legal Affairs 916-441-0400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2021-03-11 |
| Last Update Date | 2021-06-25 |