| NPI | 1841997228 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN LEE President / Podiatrist 302-753-8294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine |
| Enumeration Date | 2023-02-15 |
| Last Update Date | 2024-09-04 |