NPI | 1942789540 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 247200000X Technician, Other |
Additional Taxonomies | 225CA2500X Rehabilitation Counselor Assistive Technology Supplier (Licence: TX 86754) |
Enumeration Date | 2018-08-14 |
Last Update Date | 2024-01-15 |