| NPI | 1093341612 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NITEESH BHARARA President 205-910-7056 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2020-03-15 |
| Last Update Date | 2020-03-15 |