NPI | 1427082726 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 07001039A) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: MS 80139) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2015-02-17 |