| NPI | 1063536126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KENNETH A GRINSPUN Orthopaedic Surgeron 662-844-8699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: MS 16020) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2020-08-22 |