NPI | 1861401994 |
---|---|
Former Name | ANTHONY J WHITE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: MI 5901001442) |
Additional Taxonomies | 213ES0131X Podiatrist, Foot Surgery (Licence: MI 5901001442) |
Enumeration Date | 2006-08-07 |
Last Update Date | 2023-10-17 |