| NPI | 1275678732 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: DE J3-0000118) |
| Additional Taxonomies | 246Z00000X Specialist/Technologist, Other (Licence: DE J2-0000138) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2007-07-08 |