NPI | 1437824216 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
Additional Taxonomies | 213E00000X Podiatrist (Licence: WI s5200019602108) |
Enumeration Date | 2021-08-12 |
Last Update Date | 2022-05-09 |