| NPI | 1164296224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | OLUYEMISI OLOKODANA Credentialing Contact 301-755-3380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2023-11-09 |