NPI | 1659716751 |
---|---|
Former Name | GINA ROSE LESKO |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery (Licence: IL 036-146876) |
Enumeration Date | 2013-05-02 |
Last Update Date | 2020-07-06 |