NPI | 1992117477 |
---|---|
Former Name | NAVID SADOUGHIANZADEH |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MD 01623) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY n006859-1) |
Enumeration Date | 2014-06-02 |
Last Update Date | 2024-03-12 |