NPI | 1861436875 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: AR 119) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: AR 119) |
Enumeration Date | 2006-06-16 |
Last Update Date | 2021-05-27 |