NPI | 1144371238 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MT 124) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: ID P-103) |
Enumeration Date | 2007-01-15 |
Last Update Date | 2007-07-08 |