NPI | 1710084272 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 222Z00000X Orthotist (Licence: MD C49836) |
Additional Taxonomies | 224P00000X Prosthetist (Licence: MD C49836) |
Enumeration Date | 2006-09-19 |
Last Update Date | 2022-02-21 |