NPI | 1013697002 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224P00000X Prosthetist |
Additional Taxonomies | 222Z00000X Orthotist (Licence: CA CPO03356) |
224P00000X Prosthetist (Licence: CA CPO03356) | |
Enumeration Date | 2023-07-24 |
Last Update Date | 2024-06-07 |