NPI | 1467556019 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 00700360) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016002853) |
Enumeration Date | 2006-09-12 |
Last Update Date | 2008-02-25 |