NPI | 1619141462 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL WILLIAM CLISHAM Podiatrist 443-460-0127 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 00506) |
Enumeration Date | 2008-04-14 |
Last Update Date | 2008-06-06 |