NPI | 1841273158 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: AZ 0673) |
Additional Taxonomies | 213ES0103X Podiatrist Foot & Ankle Surgery (Licence: IN 01057218A) |
Enumeration Date | 2005-11-22 |
Last Update Date | 2016-07-25 |