| NPI | 1285993451 |
|---|---|
| Former Name | BENJAMIN TEHRANI |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5266) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 2137) |
| Enumeration Date | 2012-05-09 |
| Last Update Date | 2019-07-18 |