| NPI | 1699021477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIPUL R. PATEL President 502-543-1553 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: 00331) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: 00331) |
| Enumeration Date | 2012-07-30 |
| Last Update Date | 2017-10-23 |