NPI | 1427051291 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07000970A) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: IN 07000970A) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2023-07-08 |