| NPI | 1609845809 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: TX 1625) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: TX 1625) |
| Enumeration Date | 2006-03-17 |
| Last Update Date | 2016-11-22 |