| NPI | 1528248069 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OK 296) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016.005340) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IN 07001075a) | |
| Enumeration Date | 2007-11-13 |
| Last Update Date | 2023-11-29 |