| NPI | 1972569598 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: VA 0103300951) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA SC002140L) |
| Enumeration Date | 2006-04-22 |
| Last Update Date | 2008-02-07 |