| NPI | 1134652977 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 2020014411) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL k54321091039) |
| Enumeration Date | 2017-04-08 |
| Last Update Date | 2025-11-03 |