NPI | 1033106158 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: GA 053852) |
Additional Taxonomies | 174400000X Specialist (Licence: GA 53852) |
Enumeration Date | 2005-10-04 |
Last Update Date | 2016-09-02 |