| NPI | 1639869126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VRUNDA R DALAL Podiatrist 551-482-0671 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| 213ES0000X Podiatrist, Sports Medicine | |
| Enumeration Date | 2023-05-09 |
| Last Update Date | 2023-05-09 |