NPI | 1811341621 |
---|---|
Other Name | VICTOR KENT MYERS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: UT 11029185-0501) |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
Enumeration Date | 2016-04-18 |
Last Update Date | 2019-06-12 |