NPI | 1447784012 |
---|---|
Entity Type | Organization |
Authorized Contact | MOHAMMED AHMEDUDDIN Podiatrist 310-591-0090 |
Organization Subpart ? | No |
Primary Taxonomy | 213EP1101X Podiatrist Primary Podiatric Medicine (Licence: IN 07001095A) |
Enumeration Date | 2017-04-20 |
Last Update Date | 2017-04-20 |