| NPI | 1902483985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LEUNG President 386-775-2012 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0106X Orthopaedic Surgery, Hand Surgery |
| 207XX0005X Orthopaedic Surgery, Sports Medicine | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2023-04-28 |