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 |