NPI | 1033572656 |
---|---|
Other Name | FELIPE PETERSON |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO4014) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: FL PO4014) |
213ES0131X Podiatrist, Foot Surgery (Licence: FL PO4014) | |
213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: FL PO4014) | |
213ES0000X Podiatrist, Sports Medicine (Licence: FL PO4014) | |
Enumeration Date | 2016-03-31 |
Last Update Date | 2023-06-13 |