| NPI | 1659802718 |
|---|---|
| Professional Name | GHANSHYAM B PATEL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224L00000X Pedorthist (Licence: IL 212.000181) |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2017-03-21 |