| NPI | 1437890142 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07001494A) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IN 07001494A) |
| 213E00000X Podiatrist (Licence: IL 016.006117) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016.006117) | |
| Enumeration Date | 2022-04-05 |
| Last Update Date | 2025-07-29 |