NPI | 1043488422 |
---|---|
Former Name | AYMAN MAURICE LATIF |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: CT 000839) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25md00294100) |
Enumeration Date | 2008-02-19 |
Last Update Date | 2010-01-13 |