| NPI | 1346383643 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: LA DPM.200064) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: WV 10469) |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IL 016005279) | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: WI 995-25) | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: KS 12-00363) | |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: NE 309) | |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2021-06-14 |