NPI | 1720836430 |
---|---|
Entity Type | Organization |
Authorized Contact | ALEXANDER REYZELMAN Regional Chief Medical Officer 415-292-0638 |
Organization Subpart ? | No |
Primary Taxonomy | 213E00000X Podiatrist |
Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
Enumeration Date | 2024-05-08 |
Last Update Date | 2024-05-08 |