| NPI | 1952360083 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 213ES0131X Podiatrist, Foot Surgery (Licence: SC 00151) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: SC 00151) |
| Enumeration Date | 2006-03-18 |
| Last Update Date | 2024-08-07 |