| NPI | 1760098628 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: IN 08303D) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IN 07001474A) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2024-10-17 |