NPI | 1437577913 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA sc006592) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: PA sc006592) |
Enumeration Date | 2014-04-02 |
Last Update Date | 2025-05-13 |