NPI | 1649425299 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 225000000X Orthotic Fitter |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: IN 27014616A) |
Enumeration Date | 2008-11-24 |
Last Update Date | 2008-11-24 |