| NPI | 1649224999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CA e4130) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: CA E4130) |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2024-09-27 |