| NPI | 1699171868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD TALIS President 216-702-4388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NC 609) |
| Enumeration Date | 2014-11-14 |
| Last Update Date | 2024-05-23 |