NPI | 1477559466 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: IL 016005221) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: IN 07000977A) |
213EP0504X Podiatrist, Public Medicine (Licence: IL 016005221) | |
213EP0504X Podiatrist, Public Medicine (Licence: IN 07000977A) | |
213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IL 016005221) | |
213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: IN 07000977A) | |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016005221) | |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07000977A) | |
213ES0131X Podiatrist, Foot Surgery (Licence: IL 016005221) | |
213ES0131X Podiatrist, Foot Surgery (Licence: IN 07000977A) | |
Enumeration Date | 2005-06-23 |
Last Update Date | 2021-12-21 |