| NPI | 1801800701 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: MA 2381) |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 006225) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: IL 016-005307) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: CT 000821) | |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NH 0348) | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2023-12-22 |