| NPI | 1184052888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONAVENTURE BIMAMBU NGU Owner 936-697-2111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: TX M3339) |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2025-07-31 |