| NPI | 1437161254 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07000916A) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016-004977) |
| 213E00000X Podiatrist (Licence: IN 07000916A) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016-004977) | |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2020-05-19 |