Man with Down Syndrome holding a credit card

horizontal home caucasian man smile happy chair happiness portrait looking table finance sitting usa disabled wristwatch independent photography disability wallet massachusetts north america credit card looking at camera syndrome one person indoors holding young men boy smiling 20s color image only men young adult one man only toothy smile caucasian appearance developmental waist up down syndrome trisomy 21 one young man only 25 29 years debit card genetic disorder ds front view north andover dns