| NPI | 1801109301 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist (Licence: IL 211000028) |
| Additional Taxonomies | 222Z00000X Orthotist (Licence: IL 213000031) |
| Enumeration Date | 2010-07-26 |
| Last Update Date | 2010-07-26 |