| NPI | 1992473797 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 1744G0900X Specialist, Graphics Designer |
| 225CA2500X Rehabilitation Counselor, Assistive Technology Supplier | |
| 247000000X Technician, Health Information | |
| Enumeration Date | 2021-09-06 |
| Last Update Date | 2021-09-06 |