| NPI | 1720128929 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHNY MOTRAN Manager/Leading Memb 301-699-5900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01450) |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2014-02-20 |