| NPI | 1255319133 |
|---|---|
| Other Name | FRED OTTO KUSSEL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: FL PO0002632) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO2632) |
| Enumeration Date | 2006-01-02 |
| Last Update Date | 2011-09-28 |