NPI | 1447585518 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 222Z00000X Orthotist (Licence: VA CPO02283) |
Additional Taxonomies | 224P00000X Prosthetist (Licence: VA CPO02283) |
Enumeration Date | 2009-10-07 |
Last Update Date | 2009-10-07 |