| NPI | 1952769903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BAMIDELE OLUPONA Manager 202-321-8812 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3757) |
| Enumeration Date | 2016-02-05 |
| Last Update Date | 2019-01-25 |