| 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 |