| NPI | 1285825653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANOOP K SINGH Owner 985-735-6055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery Sports Medicine (Licence: LA 11829R) |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2011-10-05 |