NPI | 1275030082 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 224P00000X Prosthetist (Licence: IL 211000255) |
Additional Taxonomies | 222Z00000X Orthotist (Licence: IL 213000268) |
Enumeration Date | 2018-04-09 |
Last Update Date | 2018-04-09 |