NPI | 1306846209 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224P00000X Prosthetist (Licence: OH LP133) |
Additional Taxonomies | 222Z00000X Orthotist (Licence: OH LO147) |
Enumeration Date | 2005-07-21 |
Last Update Date | 2015-11-03 |