NPI | 1073327342 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224P00000X Prosthetist |
Additional Taxonomies | 225000000X Orthotic Fitter |
335E00000X Prosthetic/Orthotic Supplier | |
Enumeration Date | 2025-02-05 |
Last Update Date | 2025-02-11 |