| NPI | 1063903227 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X Orthotist (Licence: PA OH000344) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: PA PO000246) |
| Enumeration Date | 2018-05-23 |
| Last Update Date | 2018-05-23 |