NPI | 1295256022 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 3069) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MO 2017022798) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AR 293) | |
Enumeration Date | 2017-07-01 |
Last Update Date | 2024-09-06 |