NPI | 1932372638 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NJ 25MD00297100) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: FL PO3726) |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: NY 006268) | |
213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: WA PO60255094) | |
Enumeration Date | 2008-04-02 |
Last Update Date | 2022-06-17 |