NPI | 1598803785 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 222Z00000X Orthotist (Licence: NC 7795083) |
Additional Taxonomies | 224P00000X Prosthetist (Licence: NC 7795083) |
Enumeration Date | 2007-02-01 |
Last Update Date | 2007-07-09 |