| NPI | 1346488293 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225CX0006X Rehabilitation Counselor, Orientation and Mobility Training Provider |
| Additional Taxonomies | 2255R0406X Specialist/Technologist, Rehabilitation, Blind |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2009-01-30 |