| NPI | 1376384727 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN KIM Chief Executive Officer 442-599-4470 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Additional Taxonomies | 261QP1100X Clinic/Center, Podiatric |
| Enumeration Date | 2024-05-31 |
| Last Update Date | 2024-05-31 |