NPI | 1063098143 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 156F00000X Technician/Technologist (Licence: CA 8662) |
Additional Taxonomies | 156F00000X Technician/Technologist |
Enumeration Date | 2021-03-20 |
Last Update Date | 2021-03-20 |