NPI | 1598726952 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: PR 76) |
Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: PR 0076) |
Enumeration Date | 2006-03-28 |
Last Update Date | 2008-03-04 |