| NPI | 1851498117 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAZIUDDIN AHMED Officer 818-518-6768 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MI RA002029) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |