| NPI | 1407182264 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM JOSEPH BOSE Sole Proprietor 251-342-3949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: AL 14196) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2009-10-28 |
| Last Update Date | 2010-06-16 |