| NPI | 1861569923 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELLIOT JAY BRAUN President 251-304-0804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist Foot Surgery (Licence: AL 0064) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2011-01-18 |