| NPI | 1487649299 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: PA SC004396L) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC004396L) |
| Enumeration Date | 2005-09-19 |
| Last Update Date | 2024-05-20 |