| NPI | 1225000706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 246Z00000X Specialist/Technologist, Other (Licence: KY AT400) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: KY AT 400) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2007-07-08 |