NPI | 1417923103 |
---|---|
Other Name | TED DRYGAS |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 174400000X Specialist |
Additional Taxonomies | 222Z00000X Orthotist (Licence: NJ 45PO00013300) |
224P00000X Prosthetist (Licence: NJ 45PO00013300) | |
Enumeration Date | 2006-02-23 |
Last Update Date | 2009-11-18 |