| NPI | 1104759208 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIVAM UPADHYAYA President 954-829-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Enumeration Date | 2026-06-08 |
| Last Update Date | 2026-06-08 |