NPI | 1235156290 |
---|---|
Entity Type | Organization |
Authorized Contact | ELIEZER TRYBUCH Owner 202-543-0035 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MD P000430) |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: DC P0295) |
Enumeration Date | 2006-07-16 |
Last Update Date | 2016-06-27 |