NPI | 1538658471 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 224P00000X Prosthetist (Licence: PA PO000033) |
Additional Taxonomies | 222Z00000X Orthotist (Licence: PA OH000065) |
Enumeration Date | 2018-05-07 |
Last Update Date | 2018-05-07 |