| NPI | 1518634328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROZANA REYZELMAN Delegated Official 415-680-0871 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| Enumeration Date | 2021-08-28 |
| Last Update Date | 2021-09-01 |