| NPI | 1932514627 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: OR DP182931) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: FL PR377) |
| Enumeration Date | 2014-06-22 |
| Last Update Date | 2018-09-10 |