NPI | 1063673416 |
---|---|
Former Name | MARYAN VOLOSHIN |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY n006441-1) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3520) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00312400) | |
Enumeration Date | 2008-06-18 |
Last Update Date | 2023-06-05 |