| NPI | 1992428213 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255R0406X Specialist/Technologist, Rehabilitation, Blind (Licence: 22502) |
| Additional Taxonomies | 225CX0006X (Licence: 22480) |
| Enumeration Date | 2022-09-21 |
| Last Update Date | 2022-09-21 |