| NPI | 1750959334 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255R0406X Specialist/Technologist, Rehabilitation, Blind (Licence: WA 22795) |
| Additional Taxonomies | 2255R0406X Specialist/Technologist, Rehabilitation, Blind |
| Enumeration Date | 2021-06-11 |
| Last Update Date | 2021-06-11 |