| NPI | 1033627781 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: IL 211000062) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: IL 213000073) |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-06-16 |