| NPI | 1255866133 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZB0301X Specialist/Technologist, Other, Biomedical Engineering (Licence: FL L16000052528) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL L16000052528) |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2017-04-27 |