| NPI | 1407728108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MOHOMAD AL-SAWAH Member 989-895-8594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-09-22 |