NPI | 1891738381 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 224P00000X Prosthetist (Licence: NC 2673) |
Additional Taxonomies | 222Z00000X Orthotist (Licence: NC C26289) |
Enumeration Date | 2006-06-13 |
Last Update Date | 2007-08-27 |