NPI | 1255869533 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224P00000X Prosthetist (Licence: OK LPO84) |
Additional Taxonomies | 222Z00000X Orthotist (Licence: OK LPO84) |
Enumeration Date | 2017-05-31 |
Last Update Date | 2022-07-21 |