NPI | 1699775700 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 224P00000X Prosthetist (Licence: NC PNO695) |
Additional Taxonomies | 222Z00000X Orthotist (Licence: NC PNO695) |
Enumeration Date | 2005-07-29 |
Last Update Date | 2008-01-08 |