| NPI | 1053420372 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IN 35000410A) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IN 34002448A) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-07-08 |