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 |