NPI | 1013286244 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management |
Additional Taxonomies | 1744P3200X Specialist, Prosthetics Case Management |
1744P3200X Specialist, Prosthetics Case Management (Licence: LA co003405) | |
Enumeration Date | 2011-12-16 |
Last Update Date | 2011-12-16 |