NPI | 1235182452 |
---|---|
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: MO R6679) |
Additional Taxonomies | 174400000X Specialist (Licence: KS 0416084) |
Enumeration Date | 2006-05-18 |
Last Update Date | 2008-08-13 |