| NPI | 1679030787 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KASHIF ASHFAQ Owner 316-243-0672 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| Enumeration Date | 2019-02-25 |
| Last Update Date | 2019-02-25 |