| NPI | 1841997749 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224P00000X Prosthetist |
| Additional Taxonomies | 225XR0403X Occupational Therapist, Driving and Community Mobility |
| Enumeration Date | 2023-02-10 |
| Last Update Date | 2023-02-10 |