| NPI | 1932395464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AHMAD KASSEM ELSAMAD Podiatrist 219-488-6409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07001024A) |
| Enumeration Date | 2007-09-18 |
| Last Update Date | 2013-07-24 |