| NPI | 1104107028 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMIR SHALEV Managing Member 702-379-3880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NV 0304) |
| Enumeration Date | 2011-09-06 |
| Last Update Date | 2011-09-06 |