| NPI | 1144577909 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: OK LPO86) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: OK LPO86) |
| Enumeration Date | 2012-08-12 |
| Last Update Date | 2013-01-15 |