| NPI | 1992864490 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DAVID GOULD President 440-933-4021 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36.002416) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2008-05-29 |