| NPI | 1386601367 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: NY 006156) |
| Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: NY 6156) |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2023-06-29 |