| NPI | 1841579471 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: IN 07001368A) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: IL 016005604) |
| Enumeration Date | 2011-08-13 |
| Last Update Date | 2021-06-08 |