| NPI | 1538104096 |
|---|---|
| Former Name | KEYVAN GANJIANPOUR |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0000X Podiatrist, Sports Medicine (Licence: GA POD305010) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 1779) |
| 213E00000X Podiatrist (Licence: FL 901365) | |
| 213E00000X Podiatrist (Licence: AZ 0167) | |
| 213ES0000X Podiatrist, Sports Medicine (Licence: CA E5728) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103301393) | |
| Enumeration Date | 2006-06-18 |
| Last Update Date | 2024-03-12 |