NPI | 1699228619 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 224P00000X Prosthetist (Licence: DE CPO01066) |
Additional Taxonomies | 222Z00000X Orthotist (Licence: DE CPO01066) |
Enumeration Date | 2016-07-26 |
Last Update Date | 2016-07-26 |