NPI | 1558520007 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00303500) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: DE E1-0000186) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC005982) | |
Enumeration Date | 2008-06-09 |
Last Update Date | 2024-04-06 |