NPI | 1538108675 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: LA 304113) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: AL 278) |
213E00000X Podiatrist (Licence: CA E5177) | |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AL 278) | |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OH 36 003501) | |
Enumeration Date | 2006-06-05 |
Last Update Date | 2024-07-23 |