NPI | 1699724427 |
---|---|
Professional Name | MIKE D THAKER |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: GA 000650) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY N004044-1) |
Enumeration Date | 2006-05-09 |
Last Update Date | 2023-03-21 |