| NPI | 1134267941 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: SD 165) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016005319) |
| Enumeration Date | 2007-02-02 |
| Last Update Date | 2024-12-30 |