NPI | 1780658427 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: MA pd 1969) |
Additional Taxonomies | 213ES0000X Podiatrist, Sports Medicine (Licence: MA pd 1969) |
Enumeration Date | 2006-02-16 |
Last Update Date | 2025-03-17 |