| NPI | 1225320492 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner (Licence: TX ATP4732) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: TX ATP4732) |
| Enumeration Date | 2011-05-06 |
| Last Update Date | 2024-04-30 |