| NPI | 1265460877 |
|---|---|
| Other Name | JAY GROVES |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: LA DPM.190R) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: LA PD190R) |
| 213ES0131X Podiatrist, Foot Surgery (Licence: LA PD190R) | |
| Enumeration Date | 2006-06-30 |
| Last Update Date | 2019-09-06 |