NPI | 1386906360 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 224L00000X Pedorthist (Licence: FL PED207) |
Additional Taxonomies | 225000000X Orthotic Fitter (Licence: FL C.F.o.00226) |
Enumeration Date | 2012-06-14 |
Last Update Date | 2012-06-14 |