| NPI | 1619015054 |
|---|---|
| Other Name | JOSHUA ROBERT VANGOMPEL |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: CA E4711) |
| Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: WI 908-25) |
| 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: CA E4711) | |
| 213ES0000X Podiatrist Sports Medicine (Licence: CA E4711) | |
| 213ES0131X Podiatrist Foot Surgery (Licence: CA E4711) | |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2015-05-15 |