| NPI | 1396983300 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: DE CP003528) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: MD C49811) |
| 224P00000X Prosthetist | |
| Enumeration Date | 2009-01-29 |
| Last Update Date | 2015-05-13 |