| NPI | 1255844999 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner (Licence: TX 88366) |
| Additional Taxonomies | 247200000X Technician, Other |
| Enumeration Date | 2017-11-15 |
| Last Update Date | 2023-11-10 |