| NPI | 1710934260 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA SC003702R) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC003702R) |
| 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: PA SC003702R) | |
| 213ES0131X (Licence: PA SC003702R) | |
| Enumeration Date | 2006-05-30 |
| Last Update Date | 2020-10-08 |