| NPI | 1174735971 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 247200000X Technician, Other (Licence: FL CI 382) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL MA33687) |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2013-01-07 |