| NPI | 1699001776 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: OR DP177958) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: GA POD001103) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA POD001103) | |
| 213ES0131X Podiatrist, Foot Surgery (Licence: GA POD001103) | |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2016-07-27 |