NPI | 1326007022 |
---|---|
Professional Name | MARK R KUTYLA |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: SC 516) |
Additional Taxonomies | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: SC 516) |
213ER0200X Podiatrist, Radiology (Licence: SC 516) | |
213ES0000X Podiatrist, Sports Medicine (Licence: SC 516) | |
2471M1202X Radiologic Technologist, Magnetic Resonance Imaging (Licence: SC 516) | |
Enumeration Date | 2006-03-21 |
Last Update Date | 2020-11-09 |