| NPI | 1043846785 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: IL 10070061) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: IL 4024) |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |