NPI | 1184022337 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | Yes |
Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: MD 2837) |
Additional Taxonomies | 247200000X Technician, Other (Licence: MD 2837) |
Enumeration Date | 2014-12-19 |
Last Update Date | 2014-12-19 |