| NPI | 1447435748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMMAN KURUVILLA President 646-369-4507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NV 0606) |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |