| NPI | 1023479094 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255R0406X Specialist/Technologist, Rehabilitation, Blind (Licence: AL 5777) |
| Additional Taxonomies | 2255R0406X Specialist/Technologist, Rehabilitation, Blind (Licence: AL 5778) |
| Enumeration Date | 2016-03-17 |
| Last Update Date | 2016-03-17 |