| NPI | 1093223851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALI M ABDUL KAREEM President 267-324-4676 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2021-12-21 |