NPI | 1992836316 |
---|---|
Entity Type | Organization |
Authorized Contact | EUGENE LOUIS NASSIF Dpm 319-363-8854 |
Organization Subpart ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IA 00481) |
Enumeration Date | 2007-03-08 |
Last Update Date | 2008-07-07 |