NPI | 1932692688 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 224P00000X Prosthetist (Licence: IL 211.000166) |
Additional Taxonomies | 222Z00000X Orthotist (Licence: IL 213.000121) |
Enumeration Date | 2018-06-07 |
Last Update Date | 2018-06-07 |