| NPI | 1588983100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHENG-LUN SOO Owner 405-255-0309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine (Licence: OK 21124) |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2010-05-21 |