NPI | 1477909786 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NV 2087) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC006730) |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2016-05-05 |
Last Update Date | 2022-08-03 |