| NPI | 1114534062 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZB0301X Specialist/Technologist, Other, Biomedical Engineering |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 225500000X Specialist/Technologist | |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2020-09-24 |