| NPI | 1881103489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KHAWAJA NIMR IKRAM Doctor/Owner 469-404-9488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX p0984) |
| Additional Taxonomies | 111NR0400X (Licence: TX 10814) |
| 207X00000X Orthopaedic Surgery | |
| Enumeration Date | 2017-09-26 |
| Last Update Date | 2022-04-27 |