| 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 | 2025-09-11 |