| NPI | 1962741280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAJSHRI BOLSON Owner/President 605-877-5880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: TX P3124) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |