NPI | 1578869046 |
---|---|
Former Name | DONALD KIRK MOSLEY |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD00135) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3482) |
Enumeration Date | 2011-02-01 |
Last Update Date | 2015-12-03 |