NPI | 1821589136 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 222Z00000X Orthotist (Licence: DE CPO03810) |
Additional Taxonomies | 224P00000X Prosthetist (Licence: DE cpo03810) |
Enumeration Date | 2018-05-22 |
Last Update Date | 2018-05-22 |