NPI | 1891729976 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213E00000X Podiatrist (Licence: RI DPM00225) |
Additional Taxonomies | 213E00000X Podiatrist (Licence: CT 000428) |
Enumeration Date | 2006-07-11 |
Last Update Date | 2008-07-20 |