| NPI | 1093322075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELO DUSHI PARAMESWARAN Co Owner 502-387-7297 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |