NPI | 1093262099 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E5535) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E5535) |
Enumeration Date | 2016-09-07 |
Last Update Date | 2024-06-18 |