| NPI | 1073039244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO DUSHI PARAMESWARAN President 502-387-7297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: TX N5932) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2023-03-07 |