| NPI | 1265759120 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Z00000X (Licence: WA OI00000090) |
| Additional Taxonomies | 224P00000X Prosthetist (Licence: WA PS00000089) |
| Enumeration Date | 2010-04-30 |
| Last Update Date | 2010-05-03 |