Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0117X | Orthopaedic Spine Surgeon | NEVADA 7358 | NV |
NPI | 1154315547 |
---|---|
Provider Name | Jaswinder S Grover |
First Address | Las Vegas, NV 89128-3157 |
Second Address | Las Vegas, NV 89128-3157 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2005 |
Last Update Date | 11/04/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
100503675 | (05) | NV |
G05347 | (02) | NV |