| NPI | 1962827873 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255R0406X Specialist/Technologist, Rehabilitation, Blind |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 225CA2400X Rehabilitation Counselor, Assistive Technology Practitioner | |
| Enumeration Date | 2014-02-28 |
| Last Update Date | 2014-05-01 |