NPI | 1134114390 |
---|---|
Professional Name | WAYNE KARL KNOLL |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 01252) |
Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: MD 01252) |
Enumeration Date | 2005-09-14 |
Last Update Date | 2008-11-13 |