| NPI | 1750224895 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 246ZB0301X Specialist/Technologist, Other, Biomedical Engineering |
| Additional Taxonomies | 374K00000X Religious Nonmedical Practitioner |
| Enumeration Date | 2026-04-13 |
| Last Update Date | 2026-04-13 |