NPI | 1427344563 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR DP177024) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PL60221075) |
213ES0131X (Licence: AZ 0808) | |
Enumeration Date | 2011-06-28 |
Last Update Date | 2025-08-22 |