NPI | 1306163860 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 224P00000X Prosthetist (Licence: DE CPO02290) |
Additional Taxonomies | 222Z00000X Orthotist (Licence: DE CPO02290) |
Enumeration Date | 2010-04-23 |
Last Update Date | 2013-06-10 |