| NPI | 1205027190 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AK 322) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: DE PC-0000285) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2007-10-24 |