| NPI | 1811099609 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213EP1101X Podiatrist, Primary Podiatric Medicine (Licence: NV 0505) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: NV 0505) |
| 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NV 0505) | |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2015-01-21 |