| 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 (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 |