| NPI | 1568085611 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2472B0301X Technician, Other, Biomedical Engineering |
| Additional Taxonomies | 171W00000X Contractor |
| 2472B0301X Technician, Other, Biomedical Engineering | |
| Enumeration Date | 2020-05-24 |
| Last Update Date | 2020-05-24 |