| NPI | 1174990337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | YOUSSEF KABBANI General Partner 267-625-4312 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC003242L) |
| Enumeration Date | 2015-08-24 |
| Last Update Date | 2015-08-24 |