| NPI | 1942295001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VADIM GLUKH Physician 216-481-6654 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36003112) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2011-12-05 |