NPI | 1497763072 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E2764) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA E2764) |
Enumeration Date | 2006-08-03 |
Last Update Date | 2007-07-08 |