| NPI | 1811104607 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHONG MIN PARK President 814-226-7800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA MD428499) |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery (Licence: PA MD428499) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2009-01-05 |