NPI | 1851397608 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MD 00438) |
Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: MD 00438) |
Enumeration Date | 2005-06-27 |
Last Update Date | 2008-03-04 |